Becker's Hospital Review

April 2018 Hospital Review

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92 POPULATION HEALTH 92 CEO/STRATEGY 13 JV health plans formed since 2013 By Morgan Haefner E leven joint venture health plans have been formed between provider systems and health plans since 2013, according to Health Affairs, with two others reported by Becker's Hospital Review but not featured on the list. Health Affairs' analysis only comprises health maintenance organizations or health insurance companies, and not partnerships under which a provider and health insurer offer policies together, but only the insurer manages risk. Here are the 13 JV health plans formed since 2013. 1. Minneapolis-based Allina Health and Aetna announced JV group and Medicare Advantage plans in 2017. 2 . Wa u s a u , W i s .- b a s e d A s p i r u s H ea l t h a n d W i s c o n s i n P h y s i c i a n s S e r v i c e s I n s u ra n c e Co. u n v e i l e d a J V i n d i v i d u a l p l a n i n 2 0 1 6 . 3. Phoenix-based Banner Health and Aetna announced a JV group product in 2016. 4. Greensboro, N.C.-based Cone Health and Care N' Care Insurance Co. launched a JV Medicare Advantage plan in 2014. 5. Cleveland Clinic and Oscar Health created a JV group plan in 2017. 6. Hartford (Conn.) HealthCare and Tufts Health Plan announced plans in 2018 to form a JV Medicare Advantage plan. 7. Des Moines, Iowa-based UnityPoint Health and HealthPartners made JV Medicare Advantage and group policies in 2016. 8. Falls Church, Va.-based Inova Health and Aetna launched JV individual (not operating in 2018), group and Medicare Advantage plans in 2013. 9. Sacramento, Calif.-based Sutter Health and Aetna announced JV group self-insured and insured plans in 2017. 10. Arlington-based Texas Health and Aetna announced JV group insurer and self-insured plans in 2016. 11. Concord, N.H.-based Granite Health and Tufts Health Plan unveiled JV group and administrative services only plans in 2015. 12. Milwaukee-based Aurora Health Care and Anthem Blue Cross Blue Shield launched JV group and ASO plans in 2016. 13. Reading (Pa.) Health System, now Tower Heatlh, and UPMC Health Plan finalized an agreement to form a provider-payer JV beginning Jan 1, 2017. n Atrium Health suspends merger negotiations with UNC Health Care By Alyssa Rege C harlotte, N.C.-based Atrium Health issued a statement March 2 stating the health system has suspended merg- er discussions with Chapel Hill, N.C.-based UNC Health Care. Atrium Health CEO Gene Woods informed UNC Health Care's leadership of the health system's decision in a letter March 2, accord- ing to the statement. "In our letter sent to UNC Health Care to- day, we informed them that while we have not been able to reach an agreement, our re- spect for UNC Health Care, its team and UNC Health Care's accomplishments has grown through this process. eir desire to work collaboratively to improve the health of every North Carolinian is something we highly val- ue and to which we are also committed," Mr. Woods wrote. e statement said Atrium Health officials remain "committed to the patients and com- munities of North Carolina more than ever" and remain "committed to creating an orga- nization that will serve more people in better ways and enhancing our ability to address our state's most pressing issues including rural care, behavioral health and affordability." "We have agreed that the best path forward for both organizations is to identify specific op- portunities to work together, as we have pre- viously, to improve healthcare across the state and region. ough we will not form a joint operating company, UNC Health Care and Atrium Health will continue to partner on im- portant issues such as improving rural health care and expanding medical education," UNC Health Care said in a March 2 statement to Becker's Hospital Review. "We would like to express our gratitude to the leadership teams at Atrium Health, UNC Health Care, and the UNC School of Medi- cine for the time and effort spent working on the joint operating company proposal." e decision to table negotiations comes roughly one week aer executives at both health systems expressed frustration over issues of control over the proposed merged entity. William L. Roper, MD, CEO of UNC Health Care and dean of the UNC School of Medicine, provided an update about the or- ganizations' negotiations Feb. 20, stating both organizations were working closely together to discuss issues of control and how to ensure both entities' desires were represented fairly throughout the process. n

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