Commonwealth Fund July 30, 2018
Brent D. Fulton, Daniel R. Arnold, and Richard M. Scheffler

Toplines

Market concentration for health care providers and health insurers varies across the country

State and federal regulatory scrutiny of health provider and insurer market concentration is needed to protect the interests of consumers and employers

Over the past several decades in the United States, more and more health care providers and health insurers have consolidated, increasing their market power.1,2Highly concentrated markets have contributed to the growth in U.S. health care spending because they are associated with higher health care prices and insurance premiums, yet are not typically associated with higher quality of care.2-4 Given that states play a large role in regulating health care provider and insurer...

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