Modern Healthcare reports: “In the past few years, health systems have been eagerly launching or growing their own health plans, seeing it as an opportunity to cut out the middleman and take on more direct financial risk while caring for patients.
“In Wisconsin, providers have practiced that strategy for decades. And, according to Medicare and the National Committee for Quality Assurance, they’re among the highest-rated in the country.
“The Badger State ultimately could serve as a prototype for health systems that are trying to shift their focus away from filling hospital beds and toward more risk-based care coordination.
“Insurers have put risk down to providers,” Gunjan Khanna, a partner in the healthcare practice at McKinsey & Co., told Modern Healthcare.
“At what point do providers start to have their own entity to manage the risk and have control?” Wisconsin has done that well, he told the magazine.