Collaboration, integration, and payment reform initiatives among health systems, physicians, and insurers are driving change in healthcare delivery in the Albany market. Albany Medical Center has made several bold affiliation moves in recent years to hold a slim lead in the market, but St. Peter 's Health Partners and Ellis Medicine continue efforts to enhance their facilities and expand offerings in this highly competitive market. Health plans are partnering with community-based organizations, physician groups, and surgery centers to improve care and implement payment reform. Employers remain slow to adopt self-funded plan options but are becoming more interested in high-deductible, defined contribution, and hybrid plans that often promote the use of generic drugs.

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