Provider-sponsored health plans are becoming more popular and enabling health systems to use healthcare financing to innovate clinical care models, according to a Deloitte report.
Here are five key trends:
1. The healthcare organizations are finding success under new performance-based financial models, particularly those in the Medicare Access and CHIP Reauthorization Act of 2015.
2. Aurora Health Care and Aetna's partnership with Texas Health Resources are examples of prosperous provider-sponsored health plans that leverage the health plan's resources and the hospital's brand and care management. They are already successful.
3. The healthcare executives Deloitte interviewed agreed more health systems are interested in developing PSPs; collaborative models are attractive for both parties. However, scale is important for success.
4. The executives that built PSPs already suggest starting small but focusing on gaining scale and experimenting in the market with various lines of business, including their own employees and their families. The report outlined several steps for success with PSPs.
5. PSPs can enable health systems to experiment and innovate in population health and allow a health system to enter the health insurance market more quickly and more prepared.