Healthcare providers take on the payor role

Today many healthcare networks around the U.S. are struggling with the decision of whether to acquire the insurance component of the healthcare system so that they can manage both the care and the risk. The experience of those that have been successful in creating integrated delivery systems over the last four decades indicates that a network with a strong competitive edge in a mid-tier market stands the best chance of competing with insurers. Healthcare systems in the largest cities are generally better off working with traditional insurance payors, and rural areas tend to lack the critical mass to support integrated systems.