For the review, Fitch analysts looked at how operations at four regional payers — Kaiser Foundation Health Plan, Health Care Service Corp., Blue Shield of California and Blue Cross of Idaho — compared to larger competitors.
Despite their smaller enrollment, the organizations still sufficiently spread risk across their populations, and they usually have “robust regional provider networks,” Fitch said.
However, size can come with its disadvantages. For one, regional plans typically don’t have as many resources to invest in data and new technology as larger insurers. Others struggle with branding. Fitch did note that HCSC, Blue Shield of California and Blue Cross of Idaho benefit from their link to the larger Blue Cross Blue Shield brand.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.