The El Paso market was one of the worst hit by the COVID-19 pandemic as of fall 2020, with health systems straining tremendously to keep up as the number of cases skyrocketed. Under normal conditions, the market’s healthcare sector is driven by its large health systems, which have been active in building off-campus services such as freestanding emergency facilities. The presence of value-based payment incentives remains limited, which has helped keep many of the market’s physicians practicing on their own or in small groups and resisting direct employment by a local health system. Texas’ refusal to expand Medicaid eligibility, paired with the end of the federal mandate requiring individuals to purchase health insurance, keeps one in five El Paso residents uninsured.


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