The payvider trend isn’t showing any signs of slowing. By Guidehouse’s count, more payer-provider partnerships were announced in 2020 than in the past five years combined. Several factors are driving the trend. One is the increased importance of Medicare and Medicaid in the health insurance business. Insurers are also increasingly pushing risk onto providers. And while a decade ago providers were more apt to start health plans on their own, nowadays they find risk more palatable in partnerships, Guidehouse’s David Burik said.