Healthcare in Grand Rapids is consolidating around Spectrum Health, Mercy Health, and Metro Health. Dominant insurer Blue Cross Blue Shield of Michigan continues to drive payment reform. The carrier operates accountable care arrangements with Grand Rapids’ major providers and will begin mandating downside risk in 2021 for participants in its new Blueprint for Affordability model. Independent physicians will feel more pressure to align with a major health system as arrangements like Blueprint for Affordability become more common. Providers are also beginning to undercut the dominance of large payers like BCBSM, contracting directly with area employers to provide care.


Related Reports

Harrisburg | Pennsylvania | 2021 | Market Overview Brief

Pittsburgh-based ecosystems UPMC Health and Highmark Health continue to shape the Harrisburg market into another front in their statewide competition. UPMC Pinnacle leads the market’s hosp...

View Details

Cape Coral | Florida | 2021 | Market Overview Brief

Cape Coral health systems are the key drivers in this market and Lee Health and NCH Healthcare—which dominate Lee and Collier counties, respectively—have escalated their rivalry by open...

View Details

Birmingham | Alabama | 2021 | Market Overview Brief

Birmingham, a statewide hub for specialty care, has historically been a slow-moving market from the perspective of value-based contracting. BCBS of Alabama is the power player and key driver of qua...

View Details

Baton Rouge | Louisiana | 2021 | Market Overview Brief

The Baton Rouge market suffers from a high poverty rate and low health literacy, making the populace vulnerable to hospitalization during the COVID-19 pandemic. The market continues to have a scarc...

View Details