"Sometimes referred to as 'payviders,' these hospitals decide when and how to provide treatment, but they also decide when and how much to pay for that treatment for people enrolled in their insurance."
theconversation.com/what-happens...
theconversation.com/what-happens...
What happens when your hospital is also your insurance company? We’re starting to see the effects
Hospitals are tasked with making patients better, but when the hospital that provides care also owns the insurance company that pays for that care, the incentives get more complicated.
theconversation.com
August 18, 2026 at 7:38 PM
"Sometimes referred to as 'payviders,' these hospitals decide when and how to provide treatment, but they also decide when and how much to pay for that treatment for people enrolled in their insurance."
theconversation.com/what-happens...
theconversation.com/what-happens...
Well, this, from @us.theconversation.com, is potentially disastrous:
"Sometimes referred to as 'payviders,' these hospitals decide when and how to provide treatment, but they also decide when and how much to pay for that treatment for people enrolled in their insurance plans."
"Sometimes referred to as 'payviders,' these hospitals decide when and how to provide treatment, but they also decide when and how much to pay for that treatment for people enrolled in their insurance plans."
What happens when your hospital is also your insurance company? We’re starting to see the effects
Hospitals are tasked with making patients better, but when the hospital that provides care also owns the insurance company that pays for that care, the incentives get more complicated.
theconversation.com
August 18, 2026 at 5:23 PM
Well, this, from @us.theconversation.com, is potentially disastrous:
"Sometimes referred to as 'payviders,' these hospitals decide when and how to provide treatment, but they also decide when and how much to pay for that treatment for people enrolled in their insurance plans."
"Sometimes referred to as 'payviders,' these hospitals decide when and how to provide treatment, but they also decide when and how much to pay for that treatment for people enrolled in their insurance plans."
In recent years, many health system-owned insurance plans have been scaling back the scope of their coverage. #Payviders #CarrierConsolidation #HealthInsuranceMarket #analysis
An exodus of health system-owned insurance plans - Becker's Payer Issues | Payer News
“Payviders” — health systems running their own health plans — are built on the promise of integrating care and bridging gaps between payers and providers. But, despite that compelling ethos,…
buff.ly
May 22, 2026 at 8:30 PM
In recent years, many health system-owned insurance plans have been scaling back the scope of their coverage. #Payviders #CarrierConsolidation #HealthInsuranceMarket #analysis
Health plans do a poor job of negotiating rates. Their business is delivering less care than promised. But “payviders” are bad at this. They have ties to the local community. If business is bad the national insurers just up and leave. And national insurers have IT resources to game risk adjustment.
May 22, 2026 at 2:08 AM
Health plans do a poor job of negotiating rates. Their business is delivering less care than promised. But “payviders” are bad at this. They have ties to the local community. If business is bad the national insurers just up and leave. And national insurers have IT resources to game risk adjustment.
Feed: "Hospice News"
By: Jim Parker on Wednesday, April 1, 2026
By: Jim Parker on Wednesday, April 1, 2026
How Hospices Can Work with ‘Payviders’
Integration and alignment will be watchwords for hospices as they work with a growing number of “payviders.” “Payvider” is a nickname for insurance
hospicenews.com
April 1, 2026 at 2:33 PM
Feed: "Hospice News"
By: Jim Parker on Wednesday, April 1, 2026
By: Jim Parker on Wednesday, April 1, 2026
Feed: "Home Health Care News"
By: Morgan Gonzales on Friday, October 17, 2025
By: Morgan Gonzales on Friday, October 17, 2025
Payviders Under Fire But Poised To Keep Reshaping Home Health
Over the years, health insurers have increasingly purchased health care providers, creating monolithic “payvider” organizations. This consolidation has
homehealthcarenews.com
October 18, 2025 at 12:38 AM
Feed: "Home Health Care News"
By: Morgan Gonzales on Friday, October 17, 2025
By: Morgan Gonzales on Friday, October 17, 2025
Feed: "Home Health Care News"
By: Morgan Gonzales on Friday, October 3, 2025
By: Morgan Gonzales on Friday, October 3, 2025
Payviders Exploit Loophole In Medical Loss Ratio, Driving Hidden Medicare Advantage Cost Growth
Major health insurers have increasingly integrated care provider entities into their portfolios, including home-based care offerings – and are using their
homehealthcarenews.com
October 4, 2025 at 10:21 AM
Feed: "Home Health Care News"
By: Morgan Gonzales on Friday, October 3, 2025
By: Morgan Gonzales on Friday, October 3, 2025
I'd never heard of payviders before until I read Gloria Maloney's newsletter.
open.substack.com/pub/gloriajm...
open.substack.com/pub/gloriajm...
Payviders: A Dangerous Conflict of Interest We Can't Ignore.
For a long time, I wondered how my husband's employer could be an insurance company and a hospital system.
open.substack.com
January 6, 2025 at 10:58 AM
I'd never heard of payviders before until I read Gloria Maloney's newsletter.
open.substack.com/pub/gloriajm...
open.substack.com/pub/gloriajm...
Payviders: A Dangerous Conflict of Interest We Can't Ignore. open.substack.com/pub/gloriajm... Gloria is a good read!
Payviders: A Dangerous Conflict of Interest We Can't Ignore.
For a long time, I wondered how my husband's employer could be an insurance company and a hospital system.
open.substack.com
January 3, 2025 at 10:32 PM
Payviders: A Dangerous Conflict of Interest We Can't Ignore. open.substack.com/pub/gloriajm... Gloria is a good read!
In a presentation on payviders, Chief Pop. Health Officer of @advocatehealth Don Calcagno stresses the importance of closing gaps/eliminating duplicative efforts btwn payers & providers.
“If you optimize a sub-process, you suboptimize the system,” he says.
“If you optimize a sub-process, you suboptimize the system,” he says.
November 23, 2024 at 4:00 AM
In a presentation on payviders, Chief Pop. Health Officer of @advocatehealth Don Calcagno stresses the importance of closing gaps/eliminating duplicative efforts btwn payers & providers.
“If you optimize a sub-process, you suboptimize the system,” he says.
“If you optimize a sub-process, you suboptimize the system,” he says.