The Louisville market is a battleground for the three largest health systems, which are consolidating into integrated delivery networks. University of Louisville Health’s acquisition of KentuckyOne Health puts it ahead of Baptist Health while Norton Healthcare continues to set the pace for care delivery in the market. These systems exercise control through their employed physician groups, but independent practice remains prevalent in the market, with these practitioners driving the formation of risk-bearing accountable care organizations. The health plan sector is largely comprised of large national carriers, with Humana holding the majority of the overall enrollment. Managed care organizations drive the shift to value-based care in Louisville through ACOs with the market’s health systems and employed groups.


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