In 1991 I entered the health insurance market in the DC Metro area, there were 22 HMOs and 27 PPOs. Today, this number has been drastically reduced. This reduction continues. On Friday Aetna announced its plan to purchase Coventry, known by some as Southern Health.
This purchase may fill the gap for Aetna in some nitches however it reduces the competition for the consumer. Meeting the challenges of health care reform had to influence this decision if only partly. Let us see what ACOs and other aspects of health care reform actually do to competition. Remember, one of the promises of health care reform was increased competition.
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