Research and Markets has announced the addition of the "Texas Health Market Review 2016" report to their offering.

Bolstered by strong profitability, Texas hospital systems are pursuing a variety of strategies to gain market share, including acquisitions, partnerships and new facilities. However, inpatient utilization is flat or increasing slowly in much of the state. Texas health insurers have added a million Medicaid and individual members in the past two years, but large losses by a few insurers broke a streak of strongly profitable years.

These and other findings are reported in Texas Health Market Review 2016, our 14th report analyzing insurers and hospital systems in the Texas health care market. He first published a Texas market study in 1998. The report analyzes strategies and competition for health insurers and provider systems in the state, examining the impact of the Affordable Care Act and other developments driving changes in the market.

Executive Summary:

- Although the major systems are making large investment in new facilities, growth of inpatient utilization has slowed. For example, Houston area hospitals have expanded and provided 300,000 more inpatient days in 2015 compared to 2013. On an average day in 2015, 70.3% of inpatient hospital beds in Houston were full compared to 67.4% in 2013.

- Health plans like UnitedHealthcare, CIGNA HealthSpring and Amerigroup continued their strong profits, but HMO Blue Texas and Humana reported large losses.

- Medicare Advantage HMO plans continue to grow and have been the most profitable line of business for HMOs. At the end of 2015, about 765,000 seniors were in Medicare plans, with more than a third of them in UnitedHealthcare's very profitable senior plans. They had operating income of $413.7 million in 2015.

- Medicaid HMOs were less profitable in 2015 compared to 2013. They reported operating income of $69.1 million in 2015, down from $131.9 million in 2013.

- Enrollment in Texas HMOs increased by 1 million lives from 2013 to 2015, due to growth in Medicaid and individual plans. About 2.9 million Medicaid recipients are now enrolled in HMOs, up from 2.4 million in 2013. Enrollment in HMO individual plans grew from 415,000 after the first open enrollment in 2014 to 883,000 in 2016.

- While individual enrollment has increased sharply with implementation of the Affordable Care Act, several insurers have dropped out of that market segment. After showing early promise for new competition and low premium increases, only three or four insurers are selling individual plans on the Healthcare.gov exchange in the largest metropolitan areas.

Key Topics Covered:

1. Introduction

2. Market Structure

3. Health Plans

4. Hospital Systems

5. Trend Review

6. Health Plan Enrollment

7. Medicaid Managed Care and CHIP

8. Medicare Plans

9. Enrollment and Market Share by Region

10. Health Plan Net Income

11. Financial Results by Line of Business

12. Administrative Expenses and Provider Payments

13. HMO Capital

14. Regional Markets and Hospital Systems

15. A Look Ahead

Companies Mentioned

- Amerigroup

- BaylorScott&White

- CIGNA HealthSpring

- Cleveland Clinic

- HCA

- HMO Blue Texas

- Humana

- Mayo Clinic

- Tenet Health

- UnitedHealthcare

For more information about this report visit http://www.researchandmarkets.com/research/tw74zm/texas_health