Oklahoma City’s major health systems and hospitals continue to consolidate to scale up as well as pursue brick and mortar expansion to meet a growing demand for services in the market's bedroom communities. Health systems are also targeting specialty physician practices for acquisition to expand lucrative specialty services, such as orthopedics. Physicians continue to experiment with care coordination and bundled payment programs alongside Medicare, and the market’s leading health system and leading insurer have recently signed a five-year agreement centered on value-based payments. These performance-based programs, which aim to reduce costs of care and improve quality, tend to emphasize drug adherence.

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