Provider Sponsored Insurance: A Scoping Review

Academic Article


  • The passage and implementation of the American Patient Protection and Affordable Care Act (ACA) has ushered in an era of new reimbursement models and a heightened focus on population health management, which has stimulated U.S.-based health care organizations to contemplate health plan ownership as a logical strategy. The popular industry press regularly reports on health care organizations that are entering and re-entering (and occasionally exiting) the health insurance market. As little research is available on the reasons why a hospital, health system, or physician group would pursue ownership of a health plan in a post-reform era, this article, through a bibliographic scoping review, seeks to shed light on the drivers and obstacles to sponsoring a health plan, as well as the performance implications for health plans and their sponsoring organization in terms of cost, quality, access, and satisfaction.
  • Published In

    Author List

  • Meese K; O'Connor SJ
  • Start Page

  • 175
  • End Page

  • 190
  • Volume

  • 18
  • Issue

  • 2