Portland | Maine | 2023 | Market Overview

Consolidation is on the rise in Portland provider sector with a merger between MaineHealth and Mid Coast Parkview Health, which has centralized decision-making about medical care and reduces the influence of individual providers. In the payer sector, Harvard Pilgrim Health Care is exploring a merger of its own with Tufts Health that could provide some much-needed leverage to compete with market leader Anthem. Medicaid expansion enrollment is underway in Maine, with more than 57,000 individuals enrolled in expansion coverage. In the face of the COVID-19 pandemic, the Maine Department of Health and Human Services has implemented several emergency rules to maintain access to care, such as waiving copays for prescription drugs and allowing prescribing through telehealth.

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