Under care: Rising wage costs and healthcare reform will likely damage industry profit
Over the five years to 2018, gains in Medicare Advantage (MA) penetration and growing enrollment have benefited the HMO Providers industry. In recent years, HMOs have consistently lost ground in the provision of employer-based coverage. However, this overall decline has been outweighed by significant growth in the overall number of people with insurance. Despite a decreasing share, actual HMO enrollment has steadily increased. Over the five years to 2023, industry revenue is forecast to continue to increase, albeit at a slower rate compared with the previous five-year period. Rising aggregate health expenditure is anticipated to outweigh the continued decline of HMO penetration in the employer-sponsored insurance market.
This industry provides Health Maintenance Organization (HMO) insurance coverage that supplies clients with access to physicians and other medical staff primarily engaged in providing a range of outpatient medical services, with a focus generally on primary healthcare.
This report covers the scope, size, disposition and growth of the industry including the key sensitivities and success factors. Also included are five year industry forecasts, growth rates and an analysis of the industry key players and their market shares.
Table of contents
ABOUT THIS INDUSTRY
INDUSTRY AT A GLANCE
Key External Drivers
Industry Life Cycle
PRODUCTS & MARKETS
Products & Services
Market Share Concentration
Key Success Factors
Cost Structure Benchmarks
Basis of Competition
Barriers to Entry
Technology & Systems
Regulation & Policy
JARGON & GLOSSARY
UnitedHealth Group Inc.
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