Researchers from Boston University Report New Studies and Findings in the Area of Insurance (Managed Competition In the United States: How Well Is It Promoting Equity and Efficiency?): Insurance

2025 SEP 08 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Current study results on Insurance have been published. According to news reporting from Boston, Massachusetts, by NewsRx journalists, research stated, “Managed competition frameworks aim to control healthcare costs and promote access to high-quality health insurance and services through a combination of public policies and market forces. In the United States, managed competition delivery systems are varied and diffused across a patchwork of divided markets and populations.”

The news correspondents obtained a quote from the research from Boston University, “This, coupled with extremely high national health spending per capita, makes a more unified managed competition strategy an appealing alternative to a currently struggling healthcare system. We examine the relative effectiveness of three existing programmes in the U.S. that each rely upon some principles of managed competition: health insurance exchanges instituted by the Affordable Care Act, Medicaid managed care organisations, and Medicare Advantage plans. Although each programme leverages some competitive features, each faces significant hurdles as a candidate for expansion. We highlight these challenges with a survey of academic health economists, and find that provider and insurer consolidation, highly segmented markets, and failing to incentivise competitive efficiencies all dampen the success of existing programmes.”

According to the news reporters, the research concluded: “Although managed competition for all is a potentially desirable framework for future health reform in the U.S., successful expansion relies on addressing fundamental issues revealed by imperfect existing programmes.”

This research has been peer-reviewed.

For more information on this research see: Managed Competition In the United States: How Well Is It Promoting Equity and Efficiency? Health Economics, Policy and Law, 2025;20(2):1-15. Health Economics, Policy and Law can be contacted at: Cambridge Univ Press, Edinburgh Bldg, Shaftesbury Rd, CB2 8RU Cambridge, England. (Cambridge University Press - www.cambridge.org; Health Economics, Policy and Law - http://journals.cambridge.org/action/displayJournal?jid=HEP)

Our news journalists report that additional information may be obtained by contacting Randall P. Ellis, Boston University, Dept. of Economics, Boston, MA, United States. Additional authors for this research include Alex Hoagland and Angelique Acquatella.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1017/s174413312300035x. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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