In 1994, healthcare spending in Dallas and Sacramento was about the same. Since then, Dallas has become one of the highest-spending cities in the country. In Sacramento, medical inflation has cooled down, and the city now spends well below the national average. Healthcare workers in Sacramento say they bent the cost curve through integration. They cut duplication and waste by bringing doctors, hospitals, nurses, and other caregivers together so patient care could be coordinated, the Dallas Morning News reports.