Will the destruction be creative?

As an example, take One Medical (also see previous Caseload coverage). They operate partially under a capitated model: while they bill for individual services, they also receive a fixed ‘per member per month’ payment from partner health plans, as well as an annual subscription payment from individual patients. Together, these revenue streams insula... See more

The argument is that if providers start going out of business or consolidating, it leaves insurers with fewer suppliers of care to their members, which increases supplier power. The authors propose that each insurer scales up payments to primary care providers, and they astutely recommend policies that minimize the risk of free ridership, which cou... See more