There has been a flurry of merger activity in Washington state recently, particularly in the Seattle area where Optum has purchased two large physician groups, The Polyclinic and DaVita Medical Group. Kaiser Permanente Washington, the top commercial insurer in the state, is offering a number of options with varying benefits to state residents for 2021. The average monthly premium and average drug deductible decreased in Washington state for the 2021 plan year, which is good news for seniors who value plan consistency when it comes to their prescription drug needs. The state approved 13 insurers to sell 40 health plans for 2021 on its health insurance exchange, Washington Healthplanfinder. Washington’s Health Care Authority announced the recipients of contracts to provide Medicaid enrollees with both physical and behavioral health services through its Integrated Managed Care program. The new program is designed to enhance synergies between the three main delivery systems of physical health, mental health, and substance abuse.