All the plan-provider vertical integration literature to date

There aren’t a lot of studies and reports on the integration of health insurance plans with health care providers (meaning they’re owned by the same organization). Still, I want to keep track, so here’s what I’m aware of (I’m a coauthor on the first two):


Peer-Reviewed Publications



Frakt, A.B., Pizer, S.D. and Feldman, R., 2013. Plan–Provider Integration, Premiums, and Quality in the Medicare Advantage Market. Health Services Research, 48(6pt1), pp.1996-2013. I wrote about this paper here and here.
Johnson, G., Lyon, Z.M. and Frakt, A., 2017. Provider-Offered Medicare Advantage Plans: Recent Growth And Care Quality. Health Affairs, 36(3), pp.539-547. I wrote about this paper here.
La Forgia, A., Maeda, J.L.K. and Banthin, J.S., 2017. Are Integrated Plan Providers Associated With Lower Premiums on the Health Insurance Marketplaces? Medical Care Research and Review.

Reports



Khanna, G., Smith, E. and Sutaria, S., 2015. Provider-Led Health Plans: The Next Frontier—or the 1990s All Over Again. McKinsey & Company Healthcare Systems and Services Practice.
Khanna, G., Narula, D. and Rao, N., 2016. The market evolution of provider-led health plans. McKinsey & Company Healthcare Systems and Services Practice.
Carpenter, E., 2016. Nearly 60 Percent of New Medicare Advantage Plans Are Sponsored by Healthcare Providers. Avalere.
Blumberg, L.J., Holahan, J. and Wengle, E., 2015. Marketplace Price Competition in 2014 and 2015. Urban Institute.
Pascaris, M. and Smith, K., 2015. Entrance of US not-for-profit hospitals into health insurance will continue to rise. Moody’s.
Goldsmith, J., Burns, L.R., Sen, A. and Goldsmith, T., 2015. Integrated delivery networks: In search of benefits and market effects. National Academy of Social Insurance.
McKinsey Center for U.S. Health System Reform. (2016). Hospital networks: Perspective from three years of exchanges.
Baumgarten, A., 2017. Analysis of Integrated Delivery Systems and New Provider- Sponsored Health Plans. Robert Woods Johnson Foundation.

@afrakt


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Published on June 27, 2017 04:00
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