AXIOS April 19, 2024
Caitlin Owens

Health insurance companies have swelled in both size and scope over the last decade, with the revenues of six for-profit parent companies making up nearly 30% of total U.S. health spending last year — compared with less than 10% in 2011.

Why it matters: The size of health insurance companies — which are now often part of larger companies that do far more than provide coverage — raises big questions about competition, costs, quality of care and the risks of a system featuring such sprawling players.

  • One big argument for such large, diverse companies is that by owning different components of the system, they can deliver care more efficiently with lower costs and higher quality.
  • “I think the evidence...

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