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Case Study: Managed care organizations (MCOs) operate in every state. Kaiser Family Foundation (KFF) tracks and reports sociodemographic and third-party payer data, including managed care penetration. For this question, you will collect and review specific data from the KFF organization's website and then answer a few follow-up discussion questions. Go to the KFF organization's website: https://www.statehealthfacts.org • Click "Health Insurance & Managed Care." • Select the subcategory "Insurance Market Competitiveness." • Choose one of the three categories with its associated pathways: o Individual Insurance: Individual Insurance Market Competition and Market Share and Enrollment of Largest Three Insurers-Individual Market o Small Group Insurance: Small Group Insurance Market Competition and Market Share and Enrollment of Largest Three Insurers-Small Group Market o Large Group Insurance: Large Group Insurance Market Competition and Market Share and Enrollment of Largest Three Insurers-Large Group Market INSTRUCTIONS • Choose three states for this exercise. • Collect data from the KFF website and complete the following grid. • Answer the discussion question (below the grid) after you have collected and reviewed the data. Health Insurance & Managed Care Insurance Market Competition State Market Share of Largest Insurer Number of Insurers with greater than 5% Market Share Market Share and Enrollment of Largest Three Insurers State #1 name and % #2 #3 Total Group Market Enrollment
QUESTIONS
• What is the most interesting aspect of the data you collected?
• Were you surprised by any of the information?
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