The following articles discuss trends, best practices and examples of health systems taking on risk and health insurer capabilities.
1. Providers becoming payers: Should hospitals start their own health plans?
For hospitals and health systems considering a move into the world of self-owned HMOs and health plans, there are many things to consider. This article contains insight from executives and three best practices essential for any health system to become integrated with a health plan.
2. Health systems becoming payers: 8 observations
Somewhere between 300 and 400 integrated delivery networks are in a position to consider risk-based opportunities. This article contains seven other key observations.
3. The risks of provider-operated health plans: Are the rewards worthwhile?
Systems that start health plans from scratch face several barriers to entry.
4. 5 things to know about the merger of health systems and insurance providers
A summary of study findings and examples of health systems that have taken on payer capabilities.
5. Hospitals as health insurers: Should your system launch an insurance product?
This article covers how much it costs to start a health plan and how big your health system should be.
6. Less risky than it seems: Provider-sponsored health plans take hold"
"For some providers, the idea of stepping into payer’s shoes is overwhelming, but when they take a closer look, many will see that the rewards far outweigh the risks," according to this article from Valence Health.