In addition to a health plan for employees, Johns Hopkins Health Plans has a Medicare Advantage plan, a Medicaid managed care plan and a plan for the families of people who are on active duty in the U.S. military.
Many large health systems have health plans for their employees, so they have some experience as a payer/insurer as well as being a large provider. But a growing number of them are branching out from their employee-only health plans and fast becoming major players, at least at a regional level.
A prime example is Johns Hopkins and its famous hospital and medical school. Last week, Johns Hopkins HealthCare announced that it was changing its name to Johns Hopkins Health Plans. The namechanged entity has 470,000 members, of which only 55,000, or 11%, are Hopkins employees and their families.
In addition to the employee plan, the organization operates US Family Health Plan, a health insurance plan for active-duty family members and military retirees and their families that has a geographic reach that includes Maryland, Delaware, Washington, D.C., and parts of Pennsylvania, Virginia and West Virginia; Priority Partners, which it co-owns with the Maryland Community Health System, and which Hopkins says is Maryland’s largest Medicaid managed care plan; and Johns Hopkins Advantage MD, a Medicare Advantage plan.
Collectively, the plans generate more than $3 billion in premiums, according to the July 12 press release about the name tweak.
The press release about the name change says members won’t experience any change in benefits or network of provider. Enhanced scheduling functions and easier patient navigation will continue, the press release says.
“Our new name better captures our core business, which is helping our plan members access the top-tier healthcare and celebrated clinical and research assets of Johns Hopkins,” the press release quoted J.P. Holland, the CEO of Johns Hopkins Health Plans, as saying. Holland has been CEO for almost five years, according to this LinkedIn page.
According to Hopkins officials, the employee plan was formed in 1995. Priority Partners came under Johns Hopkins HealthCare a year later, followed by US Family Health Plan. The Medicare Advantage plan was added to the portfolio in 2016.
Breaking Down Health Plans, HSAs, AI With Paul Fronstin of EBRI
November 19th 2024Featured in this latest episode of Tuning In to the C-Suite podcast is Paul Fronstin, director of health benefits research at EBRI, who shed light on the evolving landscape of health benefits with editors of Managed Healthcare Executive.
Listen
In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers switching healthcare providers and insurance payers.
Listen