• For health care systems, the benefits of entering the Medicare Advantage (MA) market—the private version of the US government’s Medicare program for the elderly—can be substantial. But the performance of those that have made the move thus far has been highly variable.

  • In recent years, a growing number of health care systems have looked for new growth by entering the health insurance business. That is especially true in the fast-expanding Medicare Advantage (MA) market, where health systems have been entering at unprecedented rates, seeking diversified revenue streams, higher profit margins, and opportunities to capture more of the value from care initiatives that improve patient health and reduce costs.

  • Winning in the Medicare Advantage (MA) market is not easy for health care providers. But for provider-sponsored plans that execute effectively, the upside can be enormous. Priority Health, a provider-led health plan in western Michigan, is one such example.