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The Catch: Oct. 13

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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.

Participants will talk about accountable care organizations, patient-centered medical homes, bundled payment programs, and other strategies for changing the way care is delivered, AHIP says.


Consumers Union, Yonkers, N.Y., will hold a panel discussion Oct. 17 on creating a definition of “actuarial value.”

The group is organization the discussion because a provision in PPACA requires health insurance exchanges to sell 4 levels of coverage, ranging from “bronze” level to “platinum level,” with the tiers determined by a measure of plan “actuarial value.”

Consumers Union will present the results of a study on consumers’ thoughts on the actuarial value concept at the event, organizers say.


The Medicare Rights Center, New York, has sent the Joint Select Committee on Deficit Reduction – the 12-member “Super Committee” that is trying to come up with $1.2 trillion in deficit reduction proposals by Thanksgiving – a petition with 19,531 signatures of individuals who want Congress to leave current Medicare funding levels intact.