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Competition in Health Insurance: A Comprehensive Study of U.S. Markets, 2017 Update

Competition in Health Insurance: A Comprehensive Study of U.S. Markets, 2017 update


Publisher: AMA
Softbound,  8½" x 11",
ISBN#: 978-1-62202-749-1
Item#: OP427117
Authors: American Medical Association

Competition in Health Insurance: A Comprehensive Study of U.S. Markets, 2017 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 2017 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 2016 data from the Decision Resources Group Managed Market Surveyor—the most comprehensive source of data on enrollment in health maintenance organization (HMO), preferred provider organization (PPO), point-of-service (POS) public health exchange and consumer-driven health plans (CDHP)—we report the two largest insurers’ commercial market shares and the concentration measures (HHIs) for 389 metropolitan areas, the 50 states and the District of Columbia.

Based on the DOJ/FTC Horizontal Merger Guidelines, 69 percent of the 389 metropolitan areas are highly concentrated (HHI>2,500). Additionally, in 89 percent of the metropolitan areas, one or more insurers had a combined HMO+PPO+POS+EXCH market share of 30 percent or more.

Competition in Health Insurance: A Comprehensive Study of U.S. Markets 2017 Update is authored by the American Medical Association Division of Economic and Health Policy Research:

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

Carol K. Kane, PhD
Director, Economic and Health Policy Research

 

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