Consolidation, integration, and collaboration continue to drive change at a rapid pace in the Hartford market. Hartford HealthCare remains the dominant health system because of its considerable footprint, expansive clinically integrated network, and new strategy to open healthcare centers in the communities it serves. Trinity Health of New England’s CIN, Southern New England Healthcare Organization, is undergoing extensive expansion. Physician groups and accountable care organizations are preparing to take on risk through value-based initiatives. Insurers are creating new, lower-cost products like hybrid or level-funded plans. Employers continue shifting costs to employers and are adopting high-deductible plans that hold down costs but deter the use of medical services and promote generic drug utilization. However, the COVID-19 pandemic is disrupting all areas of healthcare. The pandemic has decimated budgets, patient volume has plummeted, and the ability to manage care coordination, population health management, and preventive screenings is being tested. Hartford is an innovative market with a fairly high degree of health system and physician clinical integration and value-based care initiatives. As the market begins to recover, expect health systems, physician groups, and insurers to use their experience to develop new delivery systems through telemedicine, innovation, and payment reform. Expect the state to step in and push value-based contracting as the preferred payment model.

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