scholarly journals U.S. Healthcare Insurance Market Concentration from 2001 to 2016: Increased Growth in Direct Written Premiums and Overall Decreased Market Consolidation

Cureus ◽  
2020 ◽  
Author(s):  
Mitchell K Ng ◽  
Kenneth K Ng ◽  
Simon Song ◽  
Ahmed K Emara ◽  
Jason Ngo ◽  
...  
Keyword(s):  
Market Concentration ◽  
Insurance Market ◽  
Healthcare Insurance ◽  
Market Consolidation

Indian Life Insurance Market and Corporate Performances: A Study of Selected Firms

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Joy Chakraborty ◽  
Partha Pratim Sengupta
Keyword(s):  
Market Share ◽  
Life Insurance ◽  
Market Concentration ◽  
Insurance Market ◽  
Insurance Companies ◽  
Insurance Company ◽  
Life Insurance Company ◽  
Insurance Sector ◽  
Life Insurers ◽  
Company Limited

In the pre-reform era, Life Insurance Corporation of India (LICI) dominated the Indian life insurance market with a market share close to 100 percent. But the situation drastically changed since the enactment of the IRDA Act in 1999. At the end of the FY 2012-13, the market share of LICI stood at around 73 percent with the number of players having risen to 24 in the countrys life insurance sector. One of the reasons for such a decline in the market share of LICI during the post-reform period could be attributed to the increasing competition prevailing in the countrys life insurance sector. At the same time, the liberalization of the life insurance sector for private participation has eventually raised issues about ensuring sound financial performance and solvency of the life insurance companies besides protection of the interest of policyholders. The present study is an attempt to evaluate and compare the financial performances, solvency, and the market concentration of the four leading life insurers in India namely the Life Insurance Corporation of India (LICI), ICICI Prudential Life Insurance Company Limited (ICICI PruLife), HDFC Standard Life Insurance Company Limited (HDFC Standard), and SBI Life Insurance Company Limited (SBI Life), over a span of five successive FYs 2008-09 to 2012-13. In this regard, the CARAMELS model has been used to evaluate the performances of the selected life insurers, based on the Financial Soundness Indicators (FSIs) as published by IMF. In addition to this, the Solvency and the Market Concentration Analyses were also presented for the selected life insurers for the given period. The present study revealed the preexisting dominance of LICI even after 15 years since the privatization of the countrys life insurance sector.

Hospital prices and market structure in the hospital and insurance industries

2010 ◽  
Vol 5 (4) ◽  
pp. 459-479 ◽  
Author(s):  
Asako S. Moriya ◽  
William B. Vogt ◽  
Martin Gaynor
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Market Concentration ◽  
Insurance Market ◽  
Hospital Services ◽  
Hospital Market ◽  
Market Effects ◽  
Transaction Prices ◽  
Care Services ◽  
The Relationship

AbstractThere has been substantial consolidation among health insurers and hospitals, recently, raising questions about the effects of this consolidation on the exercise of market power. We analyze the relationship between insurer and hospital market concentration and the prices of hospital services. We use a national US dataset containing transaction prices for health care services for over 11 million privately insured Americans. Using three years of panel data, we estimate how insurer and hospital market concentration are related to hospital prices, while controlling for unobserved market effects. We find that increases in insurance market concentration are significantly associated with decreases in hospital prices, whereas increases in hospital concentration are non-significantly associated with increases in prices. A hypothetical merger between two of five equally sized insurers is estimated to decrease hospital prices by 6.7%.

scholarly journals ANALYSIS OF COMPETITIVE POSITIONS OF INSURANCE COMPANIES IN THE NON-LIFE INSURANCE MARKET IN UKRAINE

2019 ◽  
pp. 88-94
Author(s):  
O. Pakhnenko ◽  
O. Zhuravka ◽  
V. Podhorna ◽  
A. Sukhomlyn
Keyword(s):  
Market Share ◽  
Life Insurance ◽  
Motor Vehicle ◽  
Market Concentration ◽  
Insurance Market ◽  
Insurance Companies ◽  
Insurance Company ◽  
Insurance Premiums ◽  
Property Insurance ◽  
Financial Condition

The paper explores the practical aspects of forming a competitive environment in the non-life insurance market of Ukraine and analyzes the competitiveness and financial performance of leading insurance companies. Based on the analysis of non-life insurance market concentration indicators, the authors concluded that there is no clear leader in this market, the level of market concentration is negligible. Based on the analysis of non-life insurance market leaders by volume of gross insurance premiums in the whole market and by main types of non-life insurance (CASCO, motor vehicle liability insurance, property insurance, fire and catastrophe risk insurance, CARGO, health insurance) the authors found that the leadership of insurance companies in the market does not mean their leadership in all types of non-life insurance; some insurance companies specialize in certain types of insurance and not being leaders in the insurance market at all occupy leading positions in certain segments of non-life insurance market. In order to provide a general assessment of the competitiveness of individual insurance companies in the non-life insurance market, the following indicators were selected: the volume of gross insurance premiums, gross insurance payments, insurance reserves and the amount of equity. In order to assess the size of market share of an individual insurance company in a more objective way, it is suggested to calculate the average share of the insurance company. The calculations made it possible to identify the leaders of the non-life insurance market in 2018 and to explore the dynamics of changes in their competitive position during 2016-2018. For the three insurance companies that have been identified as the leaders of the Ukrainian market non-life insurance in 2018 (“UNIKA”, “AXA Insurance” and “PZU Ukraine”), the authors analyzed the main indicators of their financial condition, namely the profitability of insurance services, profitability of sales, return on assets, return on equity, overall liquidity, absolute liquidity and autonomy. It was found that all the analyzed insurance companies are profitable, however, among the three leading Ukrainian insurance companies, the most effective in 2018 was the insurance company “PZU Ukraine” and the least profitable – “UNIKA”. Keywords: competitiveness, insurance company, market concentration, market share, competition.

scholarly journals Consolidation in the dental industry: a closer look at dental payers and providers

2019 ◽  
Vol 20 (2) ◽  
pp. 145-162
Author(s):  
Kamyar Nasseh ◽  
John R. Bowblis ◽  
Marko Vujicic ◽  
Sean Shenghsiu Huang
Keyword(s):  
The United States ◽  
Market Concentration ◽  
Insurance Market ◽  
Service Organization ◽  
Management Service ◽  
Dental Insurance ◽  
Dental Management ◽  
Level Data ◽  
Dental Practices ◽  
Management Service Organization

Abstract We examine the effect of commercial dental insurance concentration on the size of dental practices, the decision of dentists to own a practice, and the choice of dentists to work at a dental management service organization—a type of corporate group practice that has become more prevalent in the United States in recent years. Using 2013–2015 dentist-level data from the American Dental Association, county-level data on firms and employment from the United States Census, and commercial dental insurance market concentration data from FAIR Health®, we find a modest effect of dental insurance market concentration on the size of dental practices. We also find that a higher level of commercial dental insurance market concentration is associated with a dentist’s decision not to own a practice. There is inconclusive evidence that higher levels of dental insurance market concentration impact a dentist’s decision to affiliate with a dental management service organization. Overall, our findings imply that dentists consolidate in response to increases in concentration among commercial dental insurers.

scholarly journals Multimarket Contact in the Hospital Industry

2018 ◽  
Vol 10 (3) ◽  
pp. 361-387 ◽  
Author(s):  
Matt Schmitt
Keyword(s):  
United States ◽  
The United States ◽  
Market Concentration ◽  
Hospital Industry ◽  
Multimarket Contact ◽  
Multiple Markets ◽  
Multihospital Systems ◽  
Market Consolidation

Hospitals in the United States increasingly belong to multihospital systems that operate in numerous geographic markets. A large literature in management and economics suggests that competition between firms may be softened as a result of multimarket contact—i.e., firms competing with one another in multiple markets simultaneously. Exploiting plausibly exogenous variation in multimarket contact generated by out-of-market consolidation, I find that increases in multimarket contact over the 2000–2010 period led to higher hospital prices. These results suggest that continued hospital consolidation may produce higher prices even if that consolidation only minimally affects within-market concentration. (JEL G34, G38, I11, I18, K21, L41)

scholarly journals CONCENTRATION AND COMPETITION RESEARCH. THE INSURANCE MARKET OF UKRAINE

2019 ◽  
pp. 26-35 ◽  
Author(s):  
O. Zhuravka ◽  
O. Pakhnenko ◽  
A. Sukhomlyn
Keyword(s):  
Life Insurance ◽  
Concentration Level ◽  
Market Concentration ◽  
Insurance Market ◽  
Insurance Companies ◽  
Economic Science ◽  
Insurance Premiums ◽  
The World ◽  
Risk Insurance ◽  
Significant Concentration

The concentration of the insurance market is an objective process that evolves by the trends of the world market laws. In practice, many countries use a whole set of indicators that are developed by the world economic science to estimate the concentration level in different sectors of the economy. Official statistics, unfortunately, give only a fragmentary assessment of the concentration level of the domestic insurance market. The National Financial Services Commission considers two indicators: the concentration ratio and the Herfindahl-Hirschman index. The analysis of these indicators is provided on the whole market and separately on the non-life and Life insurance markets only by the volume of insurance premiums. Such an assessment is very general, and the insurance market of Ukraine remains informationally closed. Studies have shown that the level of market concentration is related to the processes of monopolization and competition. Significant concentration on the life insurance market, which in turn defines it as moderately monopolized and not a significant concentration on the risk insurance market, which has a significant level of competition. However, among a large number of insurance companies in the insurance market other than life insurance, it is possible to single out leaders who, compared to their competitors, have a significant amount of insurance payments and hold a significant share of the market in terms of insurance premiums, assets and what is important for customer - the proper level of payments, which is confirmed by the amount of insurance claims. In the market of risk insurance of Ukraine the leaders are such system-forming insurance companies as «UNIKA», «IG TAS», «ARSENAL UKRAINE», «PZU UKRAINE», «АХА INSURANCE» and «INGO UKRAINE». Key words: insurance market, concentration of insurance market, rating, assets of insurance companies, level of payments, competition.

scholarly journals PERSPECTIVAS DE CRESCIMENTO DO MERCADO RESSEGURADOR BRASILEIRO DOI:10.7444/fsrj.v3i1.71

2011 ◽  
Vol 3 (1) ◽  
pp. 169-200
Author(s):  
Carlos Honorato Teixeira ◽  
Mauro Wassilewsky Caetano
Keyword(s):  
Private Insurance ◽  
Market Concentration ◽  
Insurance Market ◽  
National Council ◽  
Strategic Positioning ◽  
Macroeconomic Factors ◽  
Potential Market ◽  
Potential Demand ◽  
Reinsurance Market ◽  
Future Growth

In 2008, resolution 168 of the National Council of Private Insurance (CNSP) allowed international reinsurers to request authorization to operate in Brazil from the Superintendence of Private Insurance (SUSEP). This led to changes in the insurance and reinsurance markets. There is a lack of in-depth studies to evaluate the growth of the reinsurance market since its effective opening, taking into account macroeconomic factors and market reserve. This study aims to evaluate the size of the reinsurance market by examining: the main sectors of business that yield reinsurance, market concentration, share of GDP, and expectations for future growth. The main objective of this paper is to provide companies in the reinsurance segment with assistance in identifying the potential market, understanding its complexity: their main competitors, and possible operational niches. In addition, it provides new and existing reinsurers with an overview of difficulties in the market and the strategic positioning that the company must adopt in order to act more effectively within the industry. To achieve these goals, it analyzes the reinsurance market in detail, proposes methods or steps to take to define strategic positioning in the market, and offers a graphic "Performance vs. Importance Matrix." There is potential demand available to the insurance market which remains unmet. Despite the initial difficulties for companies operating in the sector, the market has demonstrated its potential for continued growth since its effective opening, which will ultimately attract reinsurers, making the market highly competitive.Key words: Reinsurance. Insurance. Growth Perspective.

Prediction of Technical Reserves Based on Grey Model — GM(1,1): Evidence from Non-life Egyptian Insurance Market

2019 ◽  
Vol 10 (9) ◽  
pp. 852-860
Author(s):  
Mahmoud Elsayed ◽  
◽  
Amr Soliman ◽  
Keyword(s):  
System Theory ◽  
Grey System Theory ◽  
Insurance Market ◽  
Grey Model ◽  
Loss Ratio ◽  
Grey System ◽  
Mathematical Technique ◽  
Supervisory Authority ◽  
Error Ratio ◽  
Using Data

Grey system theory is a mathematical technique used to predict data with known and unknown characteristics. The aim of our research is to forecast the future amount of technical reserves (outstanding claims reserve, loss ratio fluctuations reserve and unearned premiums reserve) up to 2029/2030. This study applies the Grey Model GM(1,1) using data obtained from the Egyptian Financial Supervisory Authority (EFSA) over the period from 2005/2006 to 2015/2016 for non-life Egyptian insurance market. We found that the predicted amounts of outstanding claims reserve and loss ratio fluctuations reserve are highly significant than the unearned premiums reserve according to the value of Posterior Error Ratio (PER).

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