Editorial

摘要

The seismic shift from volume to a value-based system has created opportunities and risks for hospitals and healthcare systems with respect to developing health plans as a strategic advantage in their markets. Although several organizations started such plans in the 1980s and 1990s, many did not succeed because they lacked experience, scale, or networks of sufficient size or faced financial problems. In the past few years, provider-sponsored health plans (PSHPs) have again become popular because of the Affordable Care Act and the health insurance exchanges, the need to cut costs and manage population health, and the opportunity to capture the entire premium dollar.