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Journal of Health Politics, Policy and Law 1988 13(2):279-291; DOI:10.1215/03616878-13-2-279
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Duke University Press

Competition Among Health Insurers, Revisited

H. E. Freeh, III
University of California (Santa Barbara)

Paul B. Ginsburg
Physician Payment Review Commission

This paper updates our 1977 study of health insurance competition. We find that insurers are now far more willing to compete by controlling costs. Large consumer copayments and insurer utilization controls, once deemed politically in-feasible, have become commonplace. HMOs and especially PPOs are booming. Blue Shield and Blue Cross market share and market power are declining. We discuss why the insurance market has changed and conclude with thoughts on the future.


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Journal of Health Politics, Policy and LawHome page
H. M. Sapolsky
Empire and the Business of Health Insurance
Journal of Health Politics Policy and Law, December 1, 1991; 16(4): 747 - 760.
[Abstract] [PDF]




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