Does it make sense for providers to launch their own plans or double down on their existing plan investments? The answer is: it depends. Minor differences in market dynamics or system capabilities can mean that what makes sense for one provider may prove disastrous for another. Even where market entry does make sense for a system, this may not be the case in every county its network touches.
This white paper is meant to give readers an insider’s look at what it takes to evaluate the viability of launching a provider-owned health plan, and to provide an overview of how to scale one effectively post-launch.