The US Health Insurance Industry Outlook to 2015 - Promising Health Reforms to Stimulate Industry Growth
April 2012
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About the Report
About the Report
The report titled "The US Health Insurance Industry Outlook to 2015 - Promising Health Reforms to Stimulate Industry Growth" provides a comprehensive analysis on the Health Insurance market in the US covering various aspects such as market size of the health insurance industry on the basis of total premium written and total number of people with health insurance, market segmentation by Comprehensive, Medicaid, Medicare and FEHBP, and by health insurance coverage. The report also provides information on the government regulations and health insurance industry value chain. The report also entails competitive landscape and profiles of the major players operating in the industry. The future projections are included to provide an insight on the prospects in the US Health insurance industry.
The US health insurance market grew consistently over the period despite the economic downturn. This market is dominated by private players such as UnitedHealth Group and WellPoint. The Majority of private (non-government) health insurance coverage in the US is employment-based. The US Medical insurance industry has showcased a consistent growth over the period. The market size of the US health insurance industry on the basis of the total direct premium written grew from USD ~ billion in 2005 to USD ~ billion in 2010 at a CAGR of 7.8%.
Comprehensive insurance is the leading health insurance category accounting for ~ % of the total direct written premium. Medicaid is the second largest segment in the US health insurance market in terms of the total premium written with contribution of ~% of the total health insurance premium of USD ~ billion in 2010
In 2010, ~ million people were covered by private health insurance plans while ~ million were covered under government health insurance plans. Employment based insurance was the largest type of health insurance covering ~ million individuals in 2010. The number of people covered by employment based insurance has decreased over the period at a 5 year CAGR of -1.0%. The decrease began from 2008, reflecting the negative impact of the economic downturn on the market.
Premium prices have more than doubled over the period. The cost of an employer-based family coverage plan increased from ~ % to ~ % of family income over the decade. The health insurance premium surged as a percentage of private sector employee compensation from ~ % in 1999 to ~ % in 2009 thus cutting down the wages of the workers.
The US health insurance industry in terms of the total direct premium written is slated to grow over the 5 years at a CAGR of 5.3% to attain market size of USD ~ billion by 2015. The PPACA law will significantly change the course of the industry. This law will expand health insurance access to 30 million individuals thus opening up prospects for the growth of this industry. This law will also aim to control the rising price of premiums.
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Key Topics Covered in the Report:
- The market size of the US Health insurance industry by direct premium written and by total number of insured people
- Market Segmentation on the basis of Comprehensive, Medicaid, Medicare and FEHBP, and by health insurance coverage.
- Value chain of the industry.
- Government regulations affecting health insurance industry.
- Trends and developments pertaining to the industry.
- Competitive Landscape and Profiles of the major players
- Cause and Effect Relationship Analysis between industry factors and expected Health Insurance Industry Prospects
- Future outlook and projections of the US health insurance industry in terms of total premium written.
- Macroeconomic and industry factors affecting the industry
Products
Products
Health Maintenance Organization (HMO), Independent Practice Association (IPA), Preferred Provider Organization (PPO), Point of Service (POS), Private
Companies
UnitedHealth Group Inc, WellPoint Inc. , Kaiser Permanente, Humana Inc. , Aetna Inc. , Health Care Services Corporation, Highmark Inc. , Coventry Health Care Inc. EmblemHealth Inc. , Independence Blue Cross1
Table of Contents
Table of Contents
1. The US Health Insurance Industry Introduction
2. The US Health Insurance Industry Value Chain
Government Health Programs
Private Health Programs.
3. The US Regulations Pertaining to the Health Insurance Industry
4. The US Health Insurance Market Size By Value, 2005-2010
4.1. By Direct Premium Written, 2005-2010
4.2. By Total Number of Insured People, 2005-2010
5. The US Health Insurance Market Segmentation
5.1. By Comprehensive, Medicaid, Medicare and FEHBP, 2010
5.2. By Health Insurance Coverage, 2005-2010
6. The US Health Insurance Market Trends and Developments
Increasing Number of Uninsured People
Strain in the Relationship Between Insurers and Hospitals
Rising Prices of Premiums
Rising Medical Tourism Insurance
7. The US Health Insurance Market Competitive Landscape, 2010
8. The US Health Insurance Market Future Outlook and Projections, 2011-2015
8.1. Cause and Effect Relationship Between Dependent and Independent Factors Prevailing in the US Health Insurance Industry
9. Top US Health Insurance Company Profiles
9.1. UnitedHealth Group
Company Overview
Financial Performance
9.2. WellPoint, INC.
Company Overview
Financial Performance
9.3. Kaiser Foundation Health Plan Inc.
Company Overview
Financial Performance
10. Macro Economic Indicators: Current and Projections
10.1. Population, 2005-2015
10.2. Unemployment Rate, 2005-2015
10.3. Inpatient Admissions and Outpatients Visits, 2005-2010
10.4. Personal Disposable Income 2005-2015
10.5. Inflation, 2005-2015
11. Appendix
11.1. Market Definition
11.2. Abbreviations
11.3. Research Methodology
Data Collection Methods
Approach
Variables (Dependent and Independent)
Multi Factor Based Sensitivity Model (SPSS Analysis)
Final Conclusion
11.4. Disclaimer
List of Figure
Figure 1: The US Health Insurance Market Segmentation by Insurance Type
Figure 2: The US Health Insurance Market Size in Terms of Direct Premium Written in USD Billion, 2005-2010
Figure 3: The US Health Insurance Market Size in Terms of Total Insured People in Million, 2005-2010
Figure 4: The US Health Insurance Market Segmentation by Comprehensive, Medicare, Medicaid and FEHBP on the Basis of Total Direct Premium Written in Percentage, 2010
Figure 5: Total Number of Uninsured People in the US in Million, 2005-2010
Figure 6: Average Price Changes in Single Coverage and Family Coverage Premiums, USD, 2000-2009
Figure 7: The US Health Insurance Competitive Landscape by Total Premium Written, Percentage, 2010
Figure 8: The US Health Insurance Industry Future Projections in Terms of Direct Premium Written in USD Billion, 2011-2015
Figure 9: UnitedHealth Group's Total Premium Written, in USD Billion, 2005-2011
Figure 10: WellPoint's Total Premium Written, in USD Billion, 2005-2011
Figure 11: Kaiser Permanente's Total Premium Written, in USD Billion, 2005-2010
Figure 12: Kaiser Permanente Members, in Million, 2005-2010
Figure 13: The US Population in Million, 2005-2015
Figure 14: Unemployment Rate in the US in Percentage, 2005-2015
Figure 15: Inpatient Admissions in Community Hospitals in Million, 2005-2010
Figure 16: Outpatient Visits in Hospitals, in Million, 2005-2010
Figure 17: The US Personal Disposable Income in USD Billion, 2005-2015
Figure 18: Consumer Price Index in the US, 2005-2015
List of Table
Table 1: Major Provisions / Amendments in the ACA and their Timeline
Table 2: The US Health Insurance Market Segmentation by Comprehensive, Medicare, Medicaid and FEHBP on the Basis of Total Direct Premium Written in USD Million, 2010
Table 3: Total Health Insurance Coverage Segmentation by Type of Insurance in Million, 2005-2010
Table 4: Total Health Insurance Coverage Segmentation by Age Group and Type of Insurance in Million, 2010
Table 5: Medical Treatment Cost Comparison between the US and other Asian and European Countries, USD Thousand, 2010
Table 6: Top US Insurance Companies' by Total Premium Written, USD Billion, 2010
Table 7: Cause and Effect Relationship between Industry Factors and the US Health Insurance Industry Prospects
Table 8: People Served by UnitedHealth Group, Million, 2010-2011
Table 9: WellPoint Medical Membership by Customer Type, Million, 2010-2011
Table 10: Demographic Distribution of Population in the US on the basis of Age in Million and in Percentage, 2009-2012
Table 11: Correlation Matrix of the US Health Insurance Market
Table 12: Regression Coefficients Outpu
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