Market Forces That Change How Payers See Healthcare

Managed Healthcare Executive October 31, 2019
Ryan Schmid

Health insurers today are facing an existential challenge.

Partnerships and mergers between systems, insurers, and providers are gobbling up market share. The entry of large, powerful and traditionally non-healthcare organizations is threatening the payer business model. The scrutiny being paid healthcare in elections, including the overwhelming negative narrative in the media about a bloated system, is turning consumers against them. The market is changing rapidly, and payers know they must evolve or fall.

The first question health insurers are asking is what they can control. The quickest answer is the supply chain, which is why so many payers are getting into the business of providing care, not just paying for it. They all know the best, most effective care to...

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