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The highly consolidated Raleigh market’s movement toward value-based care has led to greater collaboration among health systems and hospitals, physicians, and payers, and has given rise to clinically integrated networks. The market’s three largest health systems are utilizing these networks to contract with payers under alternative payment models, including accountable care contracts. Health systems and hospitals are also collaborating to expand access to services in response to rapid population growth, including lucrative specialty services such as cardiology and oncology. Insurers' collaborations with providers continue to produce narrow-network plans that promise cost-savings and are gaining popularity with employers and individuals. As the Raleigh market’s population swells and providers expand facilities and services to keep pace, look for increased opportunities for medical and drug utilization.