Texas Health Plan's Hospital-Sponsored Payment Model Returns 2.2X
Bexar County, Texas – November 02, 2026 -- Community First Health Plans (CFHP) generated a 2.2X return on investment in the first year of its Third-Party Payment (TPP) program, and the net profit far exceeded implementation and service fees.
Sponsored members accounted for 87% of CFHP's 2022 enrollments
The Texas-based health plan piloted the hospital-sponsorship model, also called Payvider, in 2022. Sponsored members made up 87% of CFHP's enrollments that year.
Program targets low-income Bexar County residents who visit emergency rooms frequently
CFHP launched the TPP program to close coverage gaps for low-income individuals in Bexar County. It focuses on frequent emergency room visitors.
The pilot enrolled members who met subsidy qualifications but faced affordability barriers. The hospital-sponsorship structure is designed to reduce uninsured rates.