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Health systems and healthcare professionals carry the full burden of delivering care but are not in a position to manage the full cost of care. This is changing. While the large, national commercial payers are here to stay, increasingly, health systems are getting in the insurance game in many markets.
Provider-sponsored health plans (PSHPs) give health systems more control over the premium dollar and enable care delivery to be better aligned with patient outcomes while actively managing costs. And while PSHPs may lack the resources and reach of national plans, they can foster patient loyalty and offer more personalized, community-focused products in local markets.
In this podcast with Becker’s Healthcare, ECG partner Joe Mangrum talks with Lila Benayoun of MetroPlusHealth about the evolution of the “payvider” model, common pitfalls that PSHPs face, and how PSHPs can improve access and outcomes for patients.
Sincerely,
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Featured Recent Thought Leadership
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Upheaval in research space may seem overwhelming, but Andrea Wetmore and Ryan Moynihan argue this is no time for organizations to be idle; it's time
to act.
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Declining cath lab volumes from noninvasive diagnostics may present an opportunity rather than an obstacle for hospitals.
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Recent Thought Leadership
ASC leaders can use pricing transparency data as a powerful tool for negotiating payer contract rates.
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The Q2 2025 Healthcare M&A Update examines the ongoing transition of patient care to ambulatory care settings.
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Discover the unique capabilities that provider-sponsored health plans offer beyond what national health
plans can provide.
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This report analyzes 12 months of payer performance through Q1 2025, highlighting financial trends and implications for provider negotiations and strategy.
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In this episode, ECG's Katie Fellin and WellStreet Urgent Care's Nicholas Zima discuss the factors driving growth in the urgent care space.
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Allison Pullins and Clark Bosslet will unveil the 2025 MD Ranger Physician Contract Benchmark Report, one of the most comprehensive resources available on hospital-physician transactions.
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Join Matt Kilton, Amy Coletti, and Allison Baxter in San Diego, September 3–5.
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ECG's Kim Adelman and David Murdock will host an interactive session on September 9 with case studies covering matrix management approaches and practical tools for managing workforce capacity, boosting employee engagement, and reducing manager burnout.
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Join Asif Shah Mohammed, Henry Stokman, Mimi Taylor, Chris Ford, Utpal Desai, and Lisa Reed in Chicago, September 30 to October 3.
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