Blurring The Line Between Health Care Provider And Payor

Law360, New York (September 20, 2017, 12:00 PM EDT) -- Since the passage of the Affordable Care Act, health care providers in markets around the country have started exploring the payor side of the business by sponsoring health plans. As the future of the ACA and insurance exchanges becomes more uncertain, it remains to be seen how this trend will play out. This article discusses some of the factors giving rise to the phenomenon of providers becoming payors. It also explores what this trend might (and might not) mean for health insurance exchanges, smaller providers and the insurance markets generally.

Often, a provider-sponsored health plan starts with the provider offering health...

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