Washington, D.C., will see more sophisticated care management programs and preventive care in 2020 as providers and insurers emphasize population health efforts. The COVID-19 pandemic highlights needs to improve outcomes in southeastern District of Columbia and across the market. Meanwhile, Inova Health is stepping back from its precision medicine and startup investment strategy in favor of greater care coordination, while MedStar Health is focusing on enhancing its electronic medical record system to encourage more provider and patient engagement. Health systems continue to build outpatient facilities, although revenues losses may slow the pace. New proton therapy treatments are available at Inova, MedStar, and Johns Hopkins Medicine. Washington, D.C.’s unconsolidated payer market covers a large percentage of commercial members, and employees tend to favor open-access plans. Payers and employers are moving away from high deductibles to further embrace preventive care with $0 copays and are promoting disease management with monthly care management payments. COVID-19 job losses will increase Medicaid rolls and exchange enrollment, which makes these plans more attractive for insurers. Plus, uncertainty surrounding COVID-19 case surges will slow some growth, but the market’s IDN wealth is keeping most expansion plans on track.

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