Are provider-sponsored health plans here to stay and should your health system implement one?
Provider-sponsored health plans (PSHPs) first emerged in the 1980s and 1990s as a way for hospitals to better control increasing health care costs, capture premiums and manage employee care. More recently — since 2010 — a new generation of PSHPs has emerged in response to changing market, reimbursement and regulatory conditions.
Industry trends affecting insurers, providers and patients often make PSHPs an attractive venture for health care systems, but they may not work well for every organization. This report highlights key questions hospital leaders should address to determine whether implementing a PSHP is a positive, feasible and sustainable approach for their system. Additionally, it outlines the five-step process to successfully building a PSHP.