+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Beyond Antitrust: Health Care And Health Insurance Market Trends And The Future Of Competition

Beyond Antitrust: Health Care And Health Insurance Market Trends And The Future Of Competition

Health Affairs 36(9): 1572-1577

The United States relies on competition to balance costs and quality in the health care system. But concentration is increasing throughout the hospital, physician, and insurer markets. Midsize community hospitals face declining demand and growing competition from both larger hospitals and smaller freestanding diagnostic and surgical centers, leaving the midsize hospitals vulnerable to closure or merger with other facilities. Competition among insurers has been limited by the development of hospital systems that extend the bargaining power of "must-have" hospitals (those perceived to provide the best care for complex and less common conditions) across local health care markets. Government antitrust enforcement could play an important role in maintaining competition in both the hospital and insurer markets, but in many markets, the impact of that enforcement has been limited to date. Policy makers should consider supplementing antitrust activities with strategies that combine competition and regulation-for example, by regulating selected prices and structuring competition to cover entire insurance markets.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 059440662

Download citation: RISBibTeXText

PMID: 28874483

DOI: 10.1377/hlthaff.2017.0555

Related references

Whither antitrust? The uncertain future of competition law in health care. Health Affairs 21(2): 185-196, 2002

Restructuring the health care financing and delivery system: national health insurance through market competition. Journal of Health and Human Resources Administration 7(1): 117-134, 1984

Health insurance and imperfect competition in the health care market. Journal of Health Economics 25(6): 1193-1202, 2006

The key role of health insurance in a cost-effective health care system. Towards regulated competition in the Dutch medical market. Health Policy 7(2): 253-272, 1987

Universal Access to Affordable Health Care || Insurer Competition and Protection from Risk Redefinition in the Individual and Small Group Health Insurance Market. Inquiry - Journal of Health Care Organization, Provision & Financing 29(2): 148-157, 1992

The current situation of the private health plans and insurance market in Brazil and trends for the future. Ciencia & Saude Coletiva 13(5): 1421-1430, 2008

U.S. Health Care Insurance: Current Status and Future Vision || A Usual Source of Care: Supplement or Substitute for Health Insurance among Low-Income Children?. Medical Care 46(10): 1041-1048, 2008

How does expansion of public health insurance affect risk pools and premiums in the market for private health insurance? Evidence from Medicaid and the Affordable Care Act Marketplaces. Health Economics 27(12): 1877-1903, 2018

Assessing the relationship between healthcare market competition and medical care quality under Taiwan's National Health Insurance programme. European Journal of Public Health 28(6): 1005-1011, 2018

Trends in private insurance, Medicaid/State Children's Health Insurance Program, and the health-care safety net: implications for asthma disparities. Chest 132(5 Suppl.): 818s-830s, 2007

Antitrust policy in the Dutch health care system and the relevance of EEC competition policy and U.S. antitrust practice. Health Policy 17(3): 257-284, 1991

U.S. Health Care Insurance: Current Status and Future Vision || Switching Health Insurance and Its Effects on Access to Physician Services. Medical Care 46(10): 1055-1063, 2008

U.S. Health Care Insurance: Current Status and Future Vision || Separate and Unequal: Self-Segregation in Health Insurance. Medical Care 46(10): 1012-1014, 2008

U.S. Health Care Insurance: Current Status and Future Vision || Thinking Clearly about the Issue of Health Insurance. Medical Care 46(10): 1009-1011, 2008

Health Care Guidance: Commercial Health Insurance and National Health Policyby Carol Claperman Morrow;The Role of Health Insurance in the Health Services Sectorby Richard N. Rossett. Inquiry 15(2): 195-196, 1978