Analyzing healthcare market competition based on provider or insurer concentration, in isolation, provides an incomplete narrative. Because the relationship between providers and payers ultimately shapes local market dynamics, focusing exclusively on hospital or payer concentration is insufficient to draw meaningful conclusions to inform regulatory policy. For decades, health insurers have been scrutinized over market power, while increasing hospital consolidation has resulted in a persistent narrative that dominant health systems leverage their network status to secure unjustifiably high negotiated rates. This analysis seeks to examine the interplay between provider consolidation and payer market dynamics.
Read the full article: Nearly 80% of CBSAs Are Highly Concentrated for Both Inpatient Care and Commercial Health Insurance //
Source: https://www.trillianthealth.com/market-research/studies/nearly-80-of-cbsas-are-highly-concentrated-for-both-inpatient-care-and-commercial-health-insurance