The status quo in Madison will continue now that the merger between UnityPoint Health and South Dakota-based Sanford Health has been called off. UW Health retains its market lead with the most inpatient volume and the largest employed physician group, as well as majority ownership in Madison’s second-largest insurer, Quartz. Advocate Aurora Health's purchase of a stake in Quartz signals the increasing influence it will exert on payers and providers in coming years. The modest number of independent providers remaining in the market will likewise feel more pressure to align with a major health system as these IDNs grow and consolidate to protect their market shares. The dominance of local payer/provider networks will continue to shut national carriers out of the market, and an increasing focus on value-based care could renew efforts among Madison’s health systems to form clinically integrated physician networks, which have not existed in the market since 2017.

Related Reports

Southern Connecticut | Connecticut | 2021 | Market Overview Brief

Southern Connecticut is an innovative healthcare market with a high level of health system consolidation, physician clinical integration, and vast experience in value-based care initiatives and pay...

View Details

Orlando | Florida | 2021 | Market Overview Brief

Orlando’s reliance on tourism may slow down the market’s financial recovery from COVID-19. Employers may look to consumer-driven health plans to control costs. People who lost their emp...

View Details

Grand Rapids | Michigan | 2021 | Market Overview Brief

Healthcare in Grand Rapids is highly consolidated around Spectrum Health, Mercy Health, and Metro Health, enhancing providers’ care coordination capabilities and paving the way for more innov...

View Details

Cleveland | Ohio | 2021 | Market Overview Brief

Cleveland is an innovative market dominated by three integrated delivery networks: Cleveland Clinic, University Hospitals, and Summa Health. These three organizations will continue to dictate devel...

View Details