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Common institutional ownership and the erosion of competition in the American health insurance market: A quantitative analysis

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  • Smith, Kevin

Abstract

Empirical studies have shown that when large institutional investors and private equity funds own a significant stake in multiple publicly traded firms within an industry, this common ownership may lead to anti-competitive behavior. In 2010, the Affordable Care Act (ACA) was passed. This law created health insurance exchanges that allowed for Americans to purchase health insurance plans directly on a marketplace. The insurers on this marketplace have common institutional owners, that could influence the level of competition in these markets.

Suggested Citation

  • Smith, Kevin, 2025. "Common institutional ownership and the erosion of competition in the American health insurance market: A quantitative analysis," Health Policy, Elsevier, vol. 156(C).
    • Handle: RePEc:eee:hepoli:v:156:y:2025:i:c:s0168851025000727
    DOI: 10.1016/j.healthpol.2025.105316
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