Tuesday, May 31, 2016

How State Policymakers affect the Health Insurance Mergers

There are 2 clear perspectives on the potential affect of these major health insurance mergers. Some consider it will lead to a monopoly while others find no such issues.

In the state of Missouri, policymakers issued an order that would stop the Aetna-Humana acquisition from proceeding in post-merger activity within Missouri's Medicare Advantage plans as well as some commercial health plans. The two biggest health insurance mergers on the horizon today are receiving a fair amount of scrutiny from a wide number of stakeholders.

The American Medical Association (AMA), for instance, released a statement by President Steven J. Stack, MD, supporting Missouri policymakers for their decision to prevent the Aetna-Humana merger from affecting their healthcare delivery system.

The AMA announced that major health insurance mergers would create “anticompetitive market power” and thereby hurt the end consumers. The merger in Missouri could have hurt the Medicare Advantage market particularly the elderly patients who are in need of affordable healthcare coverage.

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