St. Luke’s is getting into the health insurance business. Could it be monopolistic? [The Idaho Statesman]

St.  Luke’s is getting into the health insurance business.  Could it be monopolistic? [The Idaho Statesman]

St. Luke’s Health System, the largest health care system in the Idahois launching its own health insurance plans.

The non-profit organization, called St. Luke’s Health Plan, will bring new ways to help people living in West Central and South Central in the state. Registration begins in mid-October and plans go live in January.

Although the new policies will not change who can receive treatment at the St. Luke, the move will put the company in charge of both the delivery and payment of many of its health services.

So you may be wondering: Does St. Does Luke use his health insurance to refer patients to his hospitals and clinics? And have an unfair advantage over other providers as a result?

When St. Luke’s announced its decision to enter the health insurance business in August, we asked Idaho Department of Insurance Director Dean Cameron what he thought. He said yes, Health Plan of St. Luke can refer patients to health care providers. But he said he is not worried.

“We believe we have safeguards in place to ensure that there is no abuse of power or abuse of power,” Cameron told the Statesman by phone. “They should have sent us a written statement that consumers would be well taken care of if they went online.”

The spokesman for the great competition of St. Luke, Saint Alphonsus Health System in Boisehe declined to comment.

Cameron said Idaho has access to eight carriers that offer health insurance plans, including Blue Cross of Idaho Health Services Inc., Molina Healthcare of IdahoMountain Health Co-Op, PacificSource Health Plans, Regence BlueShield of Idaho Inc., The opinion of the company SelectHealth Inc. and UnitedHealthcare.

In addition, state health insurance carriers are already working with providers to create competitive contracts.

“Some communities have the option of having one health plan or two health plans,” Cameron said. “Our insurance carriers work with all kinds of providers to create the most competitive contracts, and we want to do that, because that gives us as consumers a lower cost.”

He said St. Luke has agreed that it will pay all insurers the same amount for each medical treatment, although there is no legal requirement to do so.

Cameron said health systems have been transparent and consistent throughout the process, but will be looking to ensure market and trade standards are met.

He said: “They want us to follow closely.” “So I would be surprised if they tried to change that.”

The health association, which has hospitals and clinics around the state, issued a notice of intent to provide health insurance in March with the state insurance department. The first stage of support will include Ada, Adams, Blaine, Boise, Masks, Canyon, Let it go, Custer, Elmore, Stone, GoodJerome Lemhi, Lincoln, Mini dock, Owyhee, Payette, Twin Falls, Valley and Washington sections.

Matt Wolffpresident of the company’s health plan, believes that combining health care and insurance can make the already difficult process more seamless.

“St. Luke’s Health System will unify service delivery and funding, creating a simpler and more affordable health insurance option for our communities,” Wolff said in a news release.

Hospitals and clinics of St. Luke’s will continue to accept many other health insurance plans, according to the release.

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