Advanced Search
Current and Breaking News for Professionals, Consumers and Media



Click here to learn how to advertise on this site and for ad rates.

Insurance Author: Staff Editor Last Updated: Nov 29, 2012 - 12:25:14 PM



States with Least Competitive Health Insurance Markets

By Staff Editor
Nov 29, 2012 - 10:53:23 AM



Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for our Ezine
For Email Marketing you can trust


Email this article
 Printer friendly page

Identifies states with the least competitive health insurance markets

(HealthNewsDigest.com) - CHICAGO - Nov. 28, 2012 - The American Medical Association (AMA) today released a new study showing that anticompetitive market power is widespread for each of the three most popular managed care plans in the U.S. The AMA's annual health insurance market analysis for the first time examines insurer competition in the markets for point-of-service plans (POS), in addition to its annual analysis of health maintenance organizations (HMO) and preferred provider organizations (PPO).

"The broad scope of the new AMA analysis provides the most complete picture of the consolidation trend in health insurance markets," said AMA President Jeremy A. Lazarus, M.D. "The new data demonstrate that most areas of the country have a single health insurer with an anticompetitive share of the HMO, PPO or POS market."

The 2012 edition of AMA's Competition in Health Insurance: A Comprehensive Study of U.S. Markets is the largest analysis of its kind, reporting commercial health insurance market shares and market concentration levels for 385 metropolitan areas in all 50 states and the District of Columbia.

The AMA's latest findings regarding competition in the health insurance industry include:

  • A significant absence of health insurer competition is present in 70 percent of the metropolitan areas studied by the AMA. These markets are rated "highly concentrated," based on the 2010 Horizontal Merger Guidelines issued by the U.S. Department of Justice and Federal Trade Commission.
  • In 67 percent of the metropolitan areas studied by the AMA, at least one health insurer had an HMO market share of 50 percent or greater.
  • In 68 percent of the metropolitan areas studied by the AMA, at least one health insurer had a PPO market share of 50 percent or greater.
  • In 68 percent of the metropolitan areas studied by the AMA, at least one health insurer had a POS market share of 50 percent or greater.
  • The top 10 states with the least competitive commercial health insurance markets are: 1. Alabama, 2. Hawaii, 3. Michigan, 4. Delaware 5. Alaska, 6. North Dakota, 7. South Carolina, 8. Rhode Island, 9. Wyoming and 10. Nebraska.
  • The top 10 states with the least competitive HMO markets are: 1. Rhode Island, 2. Alabama, 3. Arkansas, 4. Wyoming 5. Utah, 6. Nebraska, 7. Idaho, 8. Nevada, 9. North Dakota and 10. Washington.
  • The top 10 states with the least competitive PPO markets are: 1. Alabama, 2. Michigan, 3. Hawaii, 4. South Carolina, 5. Delaware, 6. Indiana, 7. Iowa, 8. North Carolina, 9. Nebraska and 10. Rhode Island.
  • The top 10 states with the least competitive POS markets are: 1. North Dakota, 2. Rhode Island, 3. Oklahoma, 4. Alabama, 5. Wisconsin, 6. Tennessee, 7. New Mexico, 8. Vermont, 9. Mississippi and 10. Ohio.

"It appears that consolidation has resulted in the possession and exercise of health insurer monopoly power," the study notes, pointing to increased premiums, watered-down benefits and insurers' growing profitability as evidence that highly concentrated markets harm patients and physicians.

The AMA's Competition in Health Insurance: A Comprehensive Study of U.S. Markets is free to members. Non-members can purchase the study for $150. To order the study, please visit the AMA Bookstore online, or call (800) 621-8335 and mention item number OP427112.

# # #

For advertising and promotion on HealthNewsDigest.com please contact Mike McCurdy: [email protected] or 877-634-9180HealthNewsDigest.com is syndicated worldwide, to thousands of journalists in all media,  and health-related websites. www.HealthNewsDigest.com

 



Top of Page

HealthNewsDigest.com

Insurance
Latest Headlines


+ Take Time To Understand Your Benefits Choices
+ Uninsured Rates Fall Sharply for Latinos
+ Urban Hospitals & Health Insurance: Making It Work
+ Income, Poverty and Health Insurance Coverage in the United States: 2013
+ Men Slightly More Confident about Retirement than Women
+ U.S. Insurers Fear Backlash Over New Obamacare Rate Increases
+ 'SHOP' Health Insurance Marketplaces Providing Small Businesses with Choice of Insurers, Plans
+ Travel Insurance for Spring Breakers: A Guide for Parents
+ Travel Insurance Can Help if Your Summer Vacation Falls Victim to an Extended School Year
+ 3 Travel Insurance Lessons from the Polar Vortex



Contact Us | Job Listings | Help | Site Map | About Us
Advertising Information | HND Press Release | Submit Information | Disclaimer

Site hosted by Sanchez Productions