Editor’s Note: Launching a provider-owned health plan is not without its risks. Click here to find out how BHM can help you prepare.
Provider-owned health plans have been gaining momentum since the roll out of the Affordable Care Act and the impending shift from fee-for-service to value-based payment models. For providers hoping to get a handle on healthcare costs and supplement their own medical data with claims data, launching a health plan has been a strategic move.
In 2014, 15.3 million people had health coverage through a provider owned health plan and this number is expected to grow substantially by 2017 (cite Modern Health). But the amount of Provider-owned health plans is still relativity small, coming in at a total of 270 provider-sponsored across the country².