While UPMC and Highmark have reshaped many markets in Pennsylvania into local battlegrounds for their statewide conflict, regional entities still hold sway in Scranton. Danville-based Geisinger leads the market’s health system, physician, and payer sectors, while also driving the transition to value-based care. Physician practice is coalescing around the market's health systems as expansion continues. In the payer sector, Geisinger has thus far fended off Highmark’s advance, though the latter’s tiered network plan with LVHN stands to challenge Geisinger’s dominance.

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