Despite running into capacity issues from COVID-19 inpatient surges, Albuquerque providers are continuing to expand their core facilities. Presbyterian Healthcare Services is using its PRESNow locations that offer both urgent care and emergency care to preserve patient flow. Presbyterian has made strides with its employer-based ACOs but other health systems are reticent to move into accepting risk. Albuquerque will remain a strong destination for mid-level practitioners, as they are allowed greater autonomy and have prescribing power. The state's health exchange will move to a fully state-run model for 2022, and could improve operations and bring in more competitors.