As employers’ healthcare costs were climbing toward their steepest annual increase in more than a decade, AdventHealth launched a narrow-network insurance plan for its own workforce last year. The model is now serving as a blueprint for a product the Altamonte Springs, Fla.-based health system hopes to soon sell to other employers.
Dubbed the “Select Plan,” the health system enrolled nearly 11,000 people in its home state during the first year. Enrollment has since grown to more than 18,000 after expanding the plan to employees in Colorado for 2026 coverage.
While enrollment in the Select Plan is still a fraction of the more than 148,000 people the system provides health benefits to overall, the goal is to move more of that population toward the narrow-network plan over time.
“Ideally, we would like to move our employees into this plan,” Jennifer Jackson, chief population health officer at AdventHealth, told Becker’s. “It may not work for everyone as everybody has different circumstances, but this does align members to our network, which is lower cost.”
The Select Plan is tied to AdventHealth’s clinically integrated network and contracts with Aetna as a third-party administrator for claims processing. Wraparound services are built and operated in-house through the health system’s population health services organization, or PHSO. Those services include a care concierge team, telehealth offerings and the ability to choose a virtual primary care physician.
In 2025, the plan earned a Net Promoter Score of 92 last year and boasted 92% of its members completing a primary care visit by midyear, according to the health system.
“We pulled all three levers: benefits design and making it more attractive for the employee and their premium, leveraging our narrow network of providers who are willing and able to perform value-based care, and getting the employee engaged in their care,” Ms. Jackson said.
“I think what we’ve done is made it easy for the consumer,” she added. “With a couple of the services we’ve made available to them, we do proactive outreach to try and help [members] get scheduled with an appointment.”
Ms. Jackson said the health system views the new plan as a “proof of concept” for an eventual external employer offering. Several component services, including its ED care coordination program and health management services, are already being offered to employers.
“We continue to develop these competencies and pilot those with our employee plan, and they’re of great interest to employers in our market,” she said.
The Select Plan’s trajectory also reflects years of foundational work on AdventHealth’s clinically integrated network. The health system, which operates in nine states, unified three previously separate Florida CINs into one. That consolidation has directly enabled the standardized data tools, provider alignment and operating infrastructure the Select Plan is built around. AdventHealth also plans to launch two new system-owned CINs in additional multistate markets.
“The work that we have done has been foundational to our success and our ability to partner with our own HR team,” Ms. Jackson said. “The tools and the infrastructure and the operating model that we are able to bring to an employer have made huge strides compared to where we were before.”
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