The Changing Role of the Health Plan

April 2011
HealthLeaders Magazine;Apr2011, Vol. 14 Issue 4, p16
The article looks at the changing role of health plans in light of the advent of the accountable care organization (ACO) concept in the U.S. in 2011. Health plans are helping patients avoid the most expensive sites of care through information technology (IT) tools and other incentives from providers. The implication of the fixed profit margins of health plans is noted. The two avenues of health plan growth involve attracting additional members and returning to the practice of providing services.


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