Payviders and Their Growing Impact on Healthcare

Payviders are healthcare entities that combines the roles of both a payer and a provider. In other words, these companies offer both insurance coverage and healthcare services to patients. This concept is a relatively new development in the healthcare industry, and it has the potential to significantly impact the way that healthcare is delivered and paid for.

One of the primary benefits they can offer more integrated and coordinated care to patients. By offering both insurance coverage and healthcare services, payviders can better coordinate patient care and ensure that patients receive the appropriate level of care when they need it. This can help improve patient outcomes and reduce costs in the long term.

Another benefit of payviders is that they can offer more value-based care models. Value-based care models focus on delivering high-quality care that is cost-effective and based on patient outcomes. By combining the roles of payer and provider, payviders can align their incentives and focus on delivering the best possible care to patients, rather than just maximizing profits.

Additionally, payviders can help reduce administrative burdens for patients and healthcare providers. By offering both insurance coverage and healthcare services, payviders can streamline the administrative processes involved in healthcare delivery and billing. This can help reduce costs and improve the overall patient experience.

However, there are also potential downsides to payviders. One concern is that payviders could potentially create conflicts of interest. For example, if these organizations are incentivized to provide less care to patients in order to save money on insurance costs, this could compromise the quality of care that patients receive. Additionally, there is a concern that payviders could potentially reduce competition in the healthcare market, which could result in higher costs and reduced innovation.

Despite these concerns, payviders are still a relatively new concept, and it is not yet clear what their long-term impact on healthcare will be. However, many healthcare experts believe that payviders have the potential to significantly improve the quality and efficiency of healthcare delivery.

One example of a payvider is Oscar Health, a technology-driven health insurance company that also offers telemedicine and primary care services. Oscar Health was founded in 2012, and it has quickly become one of the most well-known payviders in the healthcare industry. The company focuses on delivering high-quality, affordable care to patients, and it uses technology to improve the patient experience and streamline administrative processes.

Another example of a payvider is Alignment Healthcare, a Medicare Advantage plan that also offers primary care services. Alignment Healthcare was founded in 2013, and it currently operates in several states across the US. The company focuses on providing coordinated care to Medicare beneficiaries, and it uses technology to improve patient outcomes and reduce costs.

Overall, payviders are a relatively new concept in the healthcare industry, but they have the potential to significantly impact the way that healthcare is delivered and paid for. By combining the roles of payer and provider, payviders can offer more integrated and coordinated care to patients, and they can help reduce administrative burdens and improve the patient experience. However, there are also potential downsides to payviders, including conflicts of interest and reduced competition. Nevertheless, many healthcare experts believe that payviders have the potential to significantly improve the quality and efficiency of healthcare delivery in the long term.

References:
The Rise of the ‘Payvider’ and Other Healthcare Trends
The Rise of the Payvider Becker’s Payer
The Payvider Trend: Why it is Surging and What It Means