Top Players

• The top five national health insurance companies by revenue and number of members are UnitedHealth Group, Anthem, Aetna, Cigna, and Humana.
•  Regional competitors to Florida Blue include Captial Health Plan, AvMed, Florida Health Care Plans, Health First, and Health Options.
• The top five health insurance sector disruptors include Bright Health, Clover Health, Oscar Health, Zest Health, and Zipari.

Health Insurance Competition

• A recent study by the AMA found that most health insurance markets in the United States are highly concetrated with one payer owning the largest market share.
• Over the last several years there has been a slide toward insurance monopolies with an increase in mergers and consolidations.
• In 91% of Metropolitan Statistical Areas at least one insurer has a market share of at least 30% in combined HMO+PPO+POS+EXCH.
• In 48% of Metropolitan Statistical Areas at least one insurer has a market share of at least 50% in combined HMO+PPO+POS+EXCH.
• In 13% of Metropolitan Statistical Areas at least one insurer has a market share of at least 70% in combined HMO+PPO+POS+EXCH.
• In Florida, Blue Cross Blue Shield holds a 40% market share and United Healthcare holds a 21% market share in combined HMO+PPO+POS+EXCH.