As the Hartford healthcare market begins to recover from the COVID-19 pandemic, expect health systems, physician groups, and insurers to use their expertise to develop new delivery systems through telemedicine, innovation, and payment reform. Integration and collaboration are more prevalent trends in the market’s health system sector than consolidation has been, but all three trends are still driving change in the market. Hartford HealthCare remains the dominant and most progressive health system because of its expanding footprint, aligned clinically integrated network, and its strategy of opening healthcare centers in the communities it serves. Trinity Health of New England continues to expand its footprint, clinical offerings, and engage in payment reform initiatives. As the state launches a new bundled payment health plan for state employees in its push to have value-based contracting as the preferred payment model, look for other providers to follow suit and take on risk. Expect a new virtual ACO health plan that caters to self-funded groups and pledges to save 15 percent from traditional insurers to be a game changer in the commercial market.