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.
Hospital collaboration pairs community health gains with financial returns
The first-year results show health plans can work with hospitals on community health while generating strong returns. The source does not disclose the dollar value of the net profit, the program's costs or the number of sponsored members.