In many states, market forces seem to be well on the way to creating single-payer health finance systems.
Analysts at the Henry J. Kaiser Family Foundation, Menlo Park, Calif., review individual and small group market competitiveness statistics in a new report.
The analysts found, for example, a single carrier supplies more than 65% of the individual health coverage sold in 17 states, and that a single carriers supplies at least 55% of the individual coverage sold in 24 states.
There are only 13 states in which 5 or more carriers each has an individual market share of at least 5%.
In 18 states, the dominant carrier in the small group market has a share of 60% or more in the small group market.
In Alabama, for example, the dominant carrier supplies about 96% of the small group coverage sold, the analysts say.
America’s Health Insurance Plans (AHIP), Washington, will be hosting a 1-day conference focusing on shared accountability in Washington Oct. 18.