As the healthcare market continues to grapple with the COVID-19 pandemic, Raleigh’s largest health systems are growing through brick-and-mortar expansion. Market leader UNC Health is building a new hospital in a growing suburban area, while Duke Health expands access to behavioral health services with the construction of a behavioral health facility. In the physician sector, the pandemic is accelerating the trend of provider consolidation, with Duke Connected Care absorbing several provider practices to broaden its network. Look for physicians to become more accountable for the cost and quality of care they deliver as they join clinically integrated networks or health system–owned or affiliated organizations. In the payer sector, the market’s largest insurers are designing new value-based care models that reimburse providers based on outcomes to gain more control over the delivery of care. Payers are also expected to gain greater influence over the delivery of healthcare services with the state’s transition to managed Medicaid.