Lack of Competition in 80 Percent of Metropolitan Health Insurance Market | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Lack of Competition in 80 Percent of Metropolitan Health Insurance Market

November 1, 2011
by root
| Reprints

A new study from the Chicago, Ill.-based American Medical Association (AMA) says 80 percent of metropolitan areas in the United States lack a competitive commercial health insurance market.

According to the AMA’s President, Peter W. Carmel, M.D., the creation of those anti-competitive markets came about through mergers and acquisitions. The report, Competition in Health Insurance: A Comprehensive Study of U.S. Markets, is intended to help regulators, lawmakers, researchers and policymakers identify markets where mergers among health insurers may cause competitive harm to patients, physicians and employers.

The latest version is the most comprehensive analysis of its kind, reporting commercial health insurance market shares and federal concentration measures for 368 metropolitan markets and 48 states. The scope of the analysis provides analysis of fully-insured and self-insured enrollments for both health maintenance organizations and preferred provider organizations.

Other findings from the report are that in about half of metropolitan markets, at least one health insurer had a commercial market share of 50 percent or more. In 24 of the 48 states, the two largest health insurers had a combined commercial market share of 70 percent or more.

The 10 states with the least competitive commercial health insurance markets according to the AMA are: 1. Alabama, 2. Alaska, 3. Delaware, 4. Michigan, 5. Hawaii, 6. District of Columbia, 7. Nebraska, 8. North Carolina, 9. Indiana and 10. Maine.

Topics

News

David Bates to Receive Glaser Award at UTHealth School of Biomedical Informatics

On Oct. 30, the 2017 John P. Glaser Health Informatics Innovator Award will be presented to patient safety expert David Bates, M.D.

TMCx Digital Health Accelerator Prepares for 2018 Class

TMCx, a digital health accelerator program launched in 2015 by the Texas Medical Center’s Innovation Institute, is seeking applications for its 2018 class of startups.

DoD, Leidos Roll Out MHS Genesis at Madigan Army Medical Center

Madigan Army Medical Center in Takoma, Washington is now the fourth military site to go live with the MHS Genesis electronic health record (EHR) system.

athenahealth to Cut Workforce by 9 Percent, Close Two Offices

athenahealth, the Watertown, Mass.-based electronic health record (EHR) vendor, expects to reduce its workforce by about 9 percent due to an organizational redesign that also involves the closure of two offices.

CISO Survey: End Users See Security as a Hurdle to Innovation

Traditional approaches to security are leading to frustrated users and strained relationships between workers and IT departments, according to the findings of a CISO survey. About three-fourths (74 percent) of CISOs say end users are frustrated that security disrupts productivity and 81 percent say end users see corporate security policies as a hurdle to innovation.

Michigan HIE Implementing Alerts for Social Determinants of Health

Great Lakes Health Connect (GLHC), Michigan’s health information exchange (HIE), is partnering with health IT solutions company Holon Solutions to enable alerts that address patients’ physical, mental and social determinants of health.