The Performance of Provider-sponsored Health Plans:
Key Findings, Strategic Implications
 


ReportAs providers look at navigating the transition from volume to value-based payments, many are considering whether their hospital or health system should sponsor a health plan. The American Hospital Association engaged the Navigant Center for Healthcare Research and Policy Analysis to collect data on the performance of provider-sponsored health plans (PSHPs) versus their non-provider sponsored health plan (NPSHP) competitors.

A key aim of the study was to create a decision framework to catalyze an informed conversation around how providers might configure themselves to manage risk and create more value—whether through sponsorship of a plan or other shared risk arrangements.

The study’s objectives were to:

1. Assess the performance of PSHPs versus NPSHPs with whom they compete in local markets.

2. Identify attributes of high-performing PSHPs that should be considered as a hospital or health system evaluates its strategy to sponsor a plan. 

3. Develop a systematic way for hospital and health system leaders to assess the risk and potential enterprise value in their decisions about plan sponsorship and other provider-sponsored risk determinations.

To learn more, read the report, “Performance of Provider-sponsored Health Plans: Key Findings, Strategic Implications” and watch a replay of the AHA Town Hall webcast with the study’s lead author, Paul H. Keckley, Ph.D., managing director, Navigant Center for Healthcare Research and Policy Analysis.

 

 

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