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Apr. 24—Individual market insurance competition deteriorated in two states, improved in two others, and remained unchanged in three states after the launch of government-run marketplaces, a recent seven-state analysis found.
Among the seven states studied by the Kaiser Family Foundation, the worst-performing individual insurance markets after the fall 2013 launch of the Affordable Care Act’s (ACA’s) marketplaces were in Connecticut and Washington, compared with the preceding year. The seven states, all of which were operating their own marketplaces, were the first to release marketplace enrollment numbers by insurer.
In Washington, the number of insurers with more than 5 percent of the market share remained unchanged at three; those insurers controlled 92 percent of the exchange market. The market share of the largest insurer increased from 40 percent in 2012 to 62 percent after the ACA marketplace launched.
Connecticut’s market competition also contracted, with two insurers, Wellpoint (Anthem) and EmblemHealth (ConnectiCare) increasing their market share from 54 percent of the individual market in 2012 to 97 percent of the ACA exchange market.
Competition is unlikely to improve soon in Connecticut because the state barred any insurer that did not participate in 2014 from entering the marketplace for two more years.
The analysis indicated that some marketplaces have failed to increase individual insurance market competition, which was a major goal of the ACA. Competition was unchanged or “mixed” in Minnesota, Nevada, and Rhode Island, the analysis found.
As in many states, the dominant post-ACA insurer in Minnesota, PreferredOne, was able to grab market share by offering the exchange’s lowest-cost plans, which included a popular narrow-provider network plan.
Meanwhile, competition improved in two of the largest insurance markets: California and New York.
For instance, New York’s individual market was moderately concentrated before the ACA, but its government-run exchange is considered unconcentrated, according to the analysis’ authors.
“New York’s exchange acts as an active purchaser, meaning the state selectively contracts with plans, rather than allowing any qualified insurer to participate,” wrote the analysis. “Even so, the state has 16 parent companies offering plans in the exchange in various parts of the state, 7 of which hold market shares greater than five percent.”
The extent to which competition will increase in the 2015 plans, which insurers will begin submitting to regulators next month, remains unclear.
Aetna told investors Thursday that it is unlikely to move into more than the 17 ACA marketplaces in which it sells plans, according to media reports. But a UnitedHealth Group executive indicated last week that the insurer may increase the number of marketplaces where it offers plans beyond the five in which it participates.
Publication Date: Thursday, April 24, 2014
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Dale Hockel, senior vice president of operations, and Jim Fanelli, CFO, TriMedx, share strategies for elevating clinical engineering through innovative management programs.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
Scott Schmidt, vice president, Cerner RevWorks, LLC, shares insights on best practices for maximizing a revenue cycle management partnership.
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