Email Sign Up

Sign up to receive information about special promotions, sales and events. Sign up now

 

Competition in Health Insurance: A Comprehensive Study of U.S. Markets, 2016 Update

Competition in Health Insurance: A Comprehensive Study of U.S. Markets, 2016 update


Softbound,  8½" x 11",  56 pages
ISBN#: 978-1-62202-597-8
Item#: OP427116
Authors: American Medical Association

Competition in Health Insurance: A Comprehensive Study of U.S. Markets, 2016 Update

List Price: 150.0
AMA Member: FREE

Available

This title helps researchers, policymakers and federal and state regulators identify areas where consolidation among health insurers may cause anticompetitive harm to consumers and providers of care.

Data on competition in health insurance markets

The 2016 Update to Competition in Health Insurance: A Comprehensive Study of U.S. Markets presents new data on the level of competition in health insurance markets across the United States.

It is intended to help researchers, policymakers and federal and state regulators identify areas where consolidation among health insurers may cause anticompetitive harm to consumers and providers of care. The Department of Justice (DOJ) and Federal Trade Commission (FTC) use this type of information to assess the anticompetitive effects of horizontal mergers between firms.

Using 2014 data from the HealthLeaders-InterStudy Managed Market Surveyor—the most comprehensive source of data on enrollment in health maintenance organization (HMO), preferred provider organization (PPO), point-of-service (POS) and consumer-driven health plans (CDHP)—we report the two largest insurers’ commercial market shares and concentration measures (HHIs) for 388 metropolitan areas, the 50 states and the District of Columbia. For the first time, this year’s update also includes data on market shares and concentration in the health exchanges. Because the results for combined product markets in this year’s update include exchange data, they are not directly comparable to results from previous editions.

Based on the DOJ/FTC Horizontal Merger Guidelines, 71 percent of the 388 metropolitan areas are highly concentrated (HHI>2,500). Additionally, in 91 percent of the metropolitan areas, one or more insurers had a combined HMO+PPO+POS+EXCH market share of 30 percent or more, and in 40 percent of the areas, one insurer had a share of at least 50 percent.

The 2016 update of the Competition in Health Insurance: A Comprehensive Study of U.S. Markets is authored by the American Medical Association Division of Economic and Health Policy Research:

David W. Emmons, PhD
Director, Economic and Health Policy Research

José R. Guardado, PhD
Senior Economist, Economic and Health Policy Research

Carol K. Kane, PhD
Principal Economist, Economic and Health Policy Research

 

Copyright 1995-2017 American Medical Association All rights reserved.