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Health & Medical Insurance in the US - Industry Market Research Report


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Health & Medical Insurance in the US

Consistent increases in healthcare expenditure and medical cost inflation, as well as a sharp decline in the uninsured rate, have driven industry growth in recent years. Industry revenue is correlated with total health expenditure, as operators increase premiums to maintain profitability. Despite this revenue growth, medical cost increases and new legislation mandating minimum medical loss ratios have put pressure on industry profit. As a result, revenue is anticipated to increase over the five years to 2016, while profit margins are expected to decline slightly. Over the five years to 2021, revenue is forecast to rise. Other key sources of growth include medical cost inflation and increased demand from the aging US population.

This industry underwrites (i.e. assumes the risks of and assigns premiums for) health and medical insurance policies. Insurance is the transfer of the risk of a loss in exchange for payment. Operators also provide administrative services for self-funded insurance plans (whereby an employer provides health benefits to workers with its own funds). Under this structure, the industry operator is a third-party administrator and is not responsible for health benefit payments.

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.


  • About this Industry
  • Industry at a Glance
    • Table Key Statistics Snapshot
    • Table Revenue vs. employment growth
    • Table Products and services segmentation (2016)
    • Table Industry Structure
  • Industry Performance
    • Table Total health expenditure
    • Table Industry revenue
    • Table Life Cycle Stage
  • Products & Markets
    • Table KEY BUYING INDUSTRIES
    • Table KEY SELLING INDUSTRIES
    • Table Products and services segmentation (2016)
    • Table Major market segmentation (2016)
    • Table Business Locations 2016
    • Table Distribution of establishments vs. population
  • Competitive Landscape
    • Table Sector vs. Industry Costs
    • Table Barriers to Entry checklist
  • Major Companies
    • Table Major players
    • Table UnitedHealth Group Inc. (US health and medical insurance operations) - financial performance
    • Table Anthem Insurance Companies (US health and medical insurance operations) - financial performance
    • Table Aetna Inc. (US health and medical insurance operations) - financial performance
    • Table Humana Inc. (US health and medical insurance operations) - financial performance
    • Table Cigna Corporation (US health and medical insurance operations) - financial performance
  • Operating Conditions
    • Table Capital intensity
    • Table Tools of the Trade: Growth Strategies for Success
    • Table Volatility vs Growth
  • Key Statistics
    • Table Industry Data
    • Table Annual Change
    • Table Key Ratios
  • Jargon & Glossary

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