Apr 12, 2022
The term “payvider” is being used with increasing frequency. A “payvider” is a provider that also serves as the health plan, taking on risk directly from employers, Medicare, or state Medicaid agencies. Banner Health is one such payvider. Founded in 1999 as the result of a merger, Banner Health is headquartered in Phoenix, AZ and owns and operates thirty hospitals including three academic medical centers across six states. Over the years, Banner Health has morphed into a fully integrated delivery system with its own network and medical groups. Banner Health offers its own Medicare Advantage, commercial and Medicaid Plans, but also has a joint venture with Aetna and through that JV, has competing plans.
With us today is Donna Sickler the Division CFO for Insurance Operations at Banner Health. Donna will help us understand the advantages and challenges of being an Integrated Delivery System and an insurer, and she’ll walk us through how the organization manages the relationship with a JV partner which is also a competitor.
Show notes: Book: The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race by Walter Isaacson, Kathy Mazur, et al.