Recent press reports have highlighted growing interest on the part of hospitals and health care systems in developing their own health insurance plans in order to bypass insurance companies and hold onto more of the health premium dollar.
Examples include Piedmont Healthcare in Atlanta and WellStar Health System in Marietta, Georgia, which earlier this year rolled out a jointly owned health plan, and MedStar Health in Washington, D.C., whose insurance was initially offered to its own 19,000 employees.1
Mount Sinai Health System in New York City—the largest health care provider in the state—will begin offering its own Medicare Advantage plan next year.2 The 16-hospital North Shore-LIJ Health System, which serves New York City and Long Island, started laying the groundwork to become an insurer in 2012.3 A survey last year by The Advisory Board Company found that 28 percent of hospitals expect to launch their own health plans within the next five years.1
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One Response to “Hospitals’ Move to Homegrown Health Insurance Plans Could Promote Quality, Efficiency in Emergency Departments”
June 20, 2014
John HThis is an excellent article showcasing an important industry change. Couple this with the explosion of the urgent care industry and the continual “retailization” of healthcare further establishes the incredible opportunity for emergency medicine to define and bring to the table its value metrics for the new landscape. It is fast becoming a time when the specialty will need definitive agreement on those metrics to prevent others from defining those metrics for the specialty.