Health Payer Intelligence November 4, 2022
AMA found that around a third of Medicare Advantage markets in 2021 had one insurer with a market share of 50 percent or more, indicating low competition levels.
Nearly 80 percent of metropolitan statistical areas (MSAs) had highly concentrated Medicare Advantage markets, highlighting the lack of competition in the commercial health insurance market.
The American Medical Association’s (AMA) 2022 edition of Competition in Health Insurance: A Comprehensive Study of US Markets analyzed health insurance markets in 380 MSAs to determine competition levels.
AMA gathered data on preferred provider organization (PPO), health maintenance organization (HMO), point of service (POS), Medicare Advantage, and exchange plans from the Decision Resources Group Managed Market Surveyor. The survey reflects the state of product and...
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