CDPHP is a strong, lean, efficient organization that puts members first in all that we do – working day-in and day-out to improve access to high-quality, affordable health care for our community. However, we cannot ignore the fact that CDPHP and its competitors are facing difficult financial headwinds. These fiscal challenges are due in large part to rising hospital consolidation and staffing shortages; rapidly rising drug prices (especially in the specialty drug market); inadequate Medicaid rates from New York state; lingering costs associated with COVID-19 testing, treatment, and vaccine administration; and pent-up demand for medical services put on hold during the coronavirus pandemic. As we head into 2023, we are confident that our investments and our strategy toward creating an integrated delivery system – including our partnership with Community Care Physicians – will position CDPHP for future success.