The Ins and Outs of Provider-Sponsored Health Plans

Kevin Weinstein

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The federal government is already pushing providers towards more risk, so it's not surprising that many are going all in by sponsoring a health plan. "Every system of scale, in terms of size and scope of operations, will likely sponsor one or more health insurance plans over the next five years," said Paul Keckley, an independent consultant, formerly with Navigant. "That will be the natural evolution from bundles and shared savings evolving to full risk agreements." Provider ownership in health plans has been increasing steadily, from 94 in 2010, to 106 in 2014, according to a recent McKinsey & Company report. Most of the enrollment growth has occurred in the Medicaid, Medicare Advantage, and individual markets. Read more here