Health Systems Can Win On The ACA Exchanges

Health systems are in a state of unrest. They face increased competition from big box retail chains, specialized care providers, digital platforms, and payviders. Meanwhile, cost pressures show no sign of abating and margins remain thin, especially as demographic trends push populations into lower reimbursement segments like Medicare. Those forces, combined with the ongoing transition from volume to value, are compelling health system leaders to realign operations and redefine their role in the patient care journey.

Avenues they are taking include launching or expanding provider-sponsored health plans, building population...