Following its acquisition of Mid Coast – Parkview Health, MaineHealth is working toward full integration as operations become unified. The merger cements MaineHealth’s dominant market position in Portland, where it now holds an 85 percent market share based on annual inpatient discharges. In the payer sector, Harvard Pilgrim Health Care has completed a merger with Tufts Health that is expected to increase the combined organization’s leverage to compete with market leader Anthem. Medicaid expansion enrollment continues in Maine, providing coverage to more than 70,000 additional individuals at a time when many Mainers faced the loss of health care coverage due to the COVID-19 pandemic. Physicians in the Portland market are participating in a new value-based program that offers an innovative payment structure to support the delivery of advanced primary care. Look for the model to enhance care for patients with chronic conditions and accelerate the adoption of alternative payment models that reward providers for improving health outcomes.