Providers with Health Plans

Today's dynamic health care marketplace has created an environment in which some hospitals and health care systems are operating a health plan - either on their own or in partnership - as part of their strategy to advance health in their communities.

Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors. There are increasing examples of health care systems and hospitals partnering with provider and commercial health plans to offer health insurance products in local markets.

The AHA ensures that all members’ perspectives and needs, including those of members with health plans, are heard and addressed in national health policy development, legislative and regulatory debates, judicial matters, and with the media and consumers.

The AHA has launched the Provider-Sponsored Health Plan Strategic Leadership Group to help develop the AHA’s policy and advocacy agenda specific to this segment of our membership. The Leadership Group also advises the AHA on the products and tools that can assist our members in sharing and developing best practices for business and strategic issues.

Related Resources

Special Bulletin
Member
The CMS, Nov. 8 released a proposed rule that would make changes to the Medicaid and Children's Health Insurance Program (CHIP) managed care regulations and,…
Special Bulletin
Member
The Centers for Medicare…
Special Bulletin
Member
The Department of Homeland Security (DHS) Sept. 22 announced a proposed rule that could limit legal immigrants’ future immigration status, such as ability to…
Special Bulletin
Member
Letter
Public
AHA comments on the Centers for Medicare & Medicaid Services’ calendar year 2019 proposed rule for the Home Health prospective payment system.
Letter
Public
AHA, health organizations letter to CMS regarding its decision to suspend billions of dollars in annual payments to insurers as required under the Affordable…