Three Downsides to Commercial Health Insurer Consolidation
Too bad The WSJ didn’t give him more print space. If they did, Dr. Gottlieb may have also pointed to three other potential downsides to commercial insurer consolidation:
1) The concentration of risk: While having a small regional health insurer go bust is a big problem for hundreds of thousands of insurance enrollees, having a for-profit national insurer with tens of millions of enrollees go bust would be a national catastrophe. Think Lehman Brothers, Black Swans and Too Big To Fail.
2) Cronyism: Politicians and C-Suite executives no longer blush at the prevalence of the revolving door between government and all industry. Health insurance will likewise be too regulated and complicated to leave to anyone other than insiders, who will naturally be unable to discern the line that separates their interests from the patients’.
3) Political Power: Will Washington DC and 50 states really be able to stand up to a handful of companies that dominate a fifth of the national economy? Years ago, the commercial insurers remained silent while they were called “Fat Cats.” The Population Health Blog bets that the next time a While House blames the insurers for rising costs, they won’t remain so deferential.
Source: http://diseasemanagementcareblog.blogspot.com/2015/07/three-downsides-to-commercial-health.html
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