Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

For UW Health, Health Plan Ownership Provides Financial Stability.

Alan S Kaplan1

  • 1Alan S. Kaplan, MD, FACHE , is CEO of UW Health in Madison, Wisconsin.

Frontiers of Health Services Management
|May 24, 2023
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

5 INESCAPABLE ISSUES FOR MEDICAL GROUPS.

Physician leadership journal·2019
Same author

Transitioning to a Physican-Driven Health System. UnityPoint takes a different approach to engagement.

Healthcare executive·2015
Same author

Too important to leave to doctors?

Physician executive·2014
Same author

Creating a strategy-based physician leadership development program.

Physician executive·2013
Same author

Recruiting researchers in psychiatry: the influence of residency vs. early motivation.

Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·2012
Same author

ACOs or whatever--the call for team-based value in care.

Physician executive·2010
Same journal

Virtua Health: A CEO-CHRO Blueprint for Culture, Trust, and Transformation.

Frontiers of health services management·2026
Same journal

Transforming Rural Health Through Strategic Affiliation: Lessons from St. Lawrence Health's Integration with Rochester Regional Health.

Frontiers of health services management·2026
Same journal

Funding North Carolina's Rural Healthcare Workforce, Before and After OBBBA.

Frontiers of health services management·2026
Same journal

How Vanderbilt Health Resources Allied Health Professionals to Alleviate Workforce Shortages.

Frontiers of health services management·2026
Same journal

A Unified Yet Tailored Approach to Employee Well-Being at The University of Texas MD Anderson Cancer Center.

Frontiers of health services management·2026
Same journal

A New Strategic Partner: The Evolution of Human Resources Leadership.

Frontiers of health services management·2026
See all related articles

Owning a health plan offers health systems benefits like improved value-based care and financial gains. However, the "payvider" model presents significant challenges, demanding careful consideration for successful integration.

Area of Science:

  • Health Systems Management
  • Healthcare Economics
  • Value-Based Care

Background:

  • Academic medical centers traditionally operate on a fee-for-service model.
  • The shift to value-based care necessitates new strategies for health systems.
  • Integrating provider and payer functions presents unique operational complexities.

Purpose of the Study:

  • To explore the advantages and disadvantages of health plan ownership for health systems.
  • To analyze the experiences of UW Health in developing a hybrid "payvider" model.
  • To assess the feasibility and impact of provider-owned health plans on mission and financial margin.

Main Methods:

  • Case study analysis of UW Health's journey as a majority owner of a provider-owned health plan.
  • Examination of the challenges and benefits encountered in managing a hybrid payer-provider system.

Related Experiment Videos

  • Evaluation of the strategic decisions and operational adjustments made by UW Health.

    • Main Results:

    • Health plan ownership can drive value-based care adoption and improve financial margins.
    • The "payvider" model imposes substantial demands on both the health system and the health plan.
    • UW Health's experience highlights that this model is not universally applicable but can be crucial for specific systems.

    Conclusions:

    • Health plan ownership is a complex strategy with significant potential benefits and burdens.
    • Successful implementation requires a deep understanding of both provider and payer dynamics.
    • For UW Health, this model is integral to achieving both its mission and financial objectives.