Provider-owned or provider-sponsored health plans (PSHPs) offer the potential to diversify revenue, align incentives for value-based care, and enhance patient experience across jointly owned plan and provider assets. However, leaders of PSHPs also face significant hurdles when attempting to achieve the scale needed for a sustainable business model.

By understanding both the potential pitfalls and strengths of the PSHP model, leaders can take the necessary steps to sustain their health plan strategies.

This report provides actionable insights for leaders of provider-sponsored health plans (PSHPs). The following sections will guide you through the most pressing challenges, key advantages, and practical steps leaders of PSHPs should take for sustained success.

In this report, we will cover the three areas listed below.