Prisma Health, a partnership between Palmetto Health and Greenville Health System, has the financial means to invest in existing services to increase efficiency and improve outcomes. In addition, Prisma may expand into other parts of the state and beyond. Health systems in the market are even more consolidated because of the closing of Fairfield Memorial Hospital in Winnsboro and the acquisition of KershawHealth by Providence Health’s parent company, LifePoint Health. Dominant insurer BlueCross BlueShield has had little incentive to promote payment reforms, but Prisma could jumpstart change by offering more coordinated and successful ways to manage quality, efficiency, and costs.

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