P&T
Our
Other
Journal
MediMedia Managed Markets
Managed Care

 

AMA Says 1 or 2 Insurers Control Too Many Markets

MANAGED CARE May 2006. © MediMedia USA
News and Commentary

AMA Says 1 or 2 Insurers Control Too Many Markets

MANAGED CARE May 2006. ©MediMedia USA

Nothing succeeds like success, except perhaps a monopoly. That's one word (the other is oligopoly) being bandied about in reaction to a study by the American Medical Association that says that too many managed care markets are locked up by just one or two health plans. Using 2005 data, the AMA says that 56 percent of 294 metropolitan areas have single insurers controlling 50 percent or more of the HMO and PPO market. There have been more than 400 health insurer mergers in the last decade, according to the AMA.

"The problem is widespread across the country, and it needs to be looked at," Jim Rohack, an AMA trustee, tells the Baltimore Sun. Specifically, the AMA wants the Department of Justice to open antitrust investigations in some markets, though so far, regulators do not seem interested in pursuing the matter.

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014