Provider-sponsored health plans (PSHPs) are in a prime position to benefit from disruptions in the Affordable Care Act (ACA) marketplace, according to Marc Bryant, senior vice president at Softheon. As large national insurers such as Aetna exit markets due to unsustainable risk pools , local, provider-backed plans could capture members seeking trusted, community-based coverage—especially as 2026 open enrollment approaches.

“These plans have something others can’t replicate: local trust and established patient relationships,” Bryant said. “When members lose their coverage because a big carrier exits, they’re not always looking for the cheapest premium anymore. Many want a plan that’s connected to providers they already know and trust.”

He referred to past market shifts, such as how Bay

See Full Page