Growth of Provider-Sponsored Health Plans: Trends and Implications from 2018 to 2023

Between 2018 and 2023, hospital-led provider-sponsored health plans (#PSHPs) in the US increased from 18.3% to 27.2%. Growth was largest in the West and most prevalent among nonprofit and medical school-affiliated hospitals, reflecting alignment with population health and financial risk-sharing missions.

PSHPs offer integrated care-and-coverage models, potentially reducing payer-provider friction, but may have limited customer service capabilities and unique implications for clinicians and employers. Ongoing evaluation is needed to determine the long-term effects on patient access, cost, and care quality.

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