TABLE 1


Table 1—Percentage of Americans With Commercial Heath Insurance Enrolled in Fee-for-Service Plans, Point-of Service Options, PPOs, and HMOs in Selected MSAs, 1996
MSA FFS POS PPO HMO
Boston 21.5 1.7 15.4 61.4
Chicago 16.8 4.6 42.5 36.2
Cleveland 21.2 2.8 39.8 36.2
Dallas 15.5 5.2 48.8 30.5
Detroit 33.1 3.0 30.6 33.2
Greenville 26.1 2.3 52.8 18.8
Houston 18.7 5.0 40.9 35.4
Indianapolis 21.9 5.9 42.1 30.2
Lansing 34.7 3.2 20.0 42.1
Little Rock 19.5 5.7 31.1 43.6
Los Angeles 8.8 2.1 19.3 69.8
Miami 6.9 2.5 34.6 56.0
Minneapolis 9.3 9.7 22.5 58.6
New York 16.8 6.2 29.4 47.6
Newark 32.1 8.5 25.2 34.2
Orange County 7.6 2.9 29.4 60.1
Orlando 14.0 4.6 38.8 42.6
Philadelphia 19.1 3.0 21.1 56.8
Phoenix 7.9 3.2 34.0 54.9
San Diego 4.0 1.7 21.3 73.1
San Francisco 4.8 2.0 22.6 70.6
San Jose 4.0 1.4 21.0 73.6
Seattle 10.4 2.9 50.4 36.2
Syracuse 40.0 4.1 18.1 37.9

Source: AAHPathttp://www.aahp.org/menus/index.cim?CFID=86989&CFTOKEN=24038

















TABLE 2


Table 2—Number of HMOs, HMO Penetration, and Index of HMO Competition in Selected MSAs
City # of HMOs HMO Penet. Index of Comp.
Boston 12 44.5% 0.690
Chicago 27 26.8% 0.805
Cleveland 19 27.4% 0.843
Dallas 18 15.9% 0.885
Detroit 15 26.8% 0.794
Greenville 9 8.4% 0.678
Houston 15 19.8% 0.741
Indianapolis 11 22.8% 0.776
Lansing 5 40.7% 0.603
Little Rock 5 24.8% 0.665
Los Angeles 21 41.7% 0.829
Miami 17 63.6% 0.865
Minneapolis 10 41.5% 0.613
New York 18 30.8% 0.787
Newark 14 16.8% 0.857
Orange County 19 45.9% 0.855
Orlando 18 42.4% 0.851
Philadelphia 18 36.4% 0.717
Phoenix 10 33.7% 0.859
San Diego 13 45.6% 0.802
San Francisco 18 49.0% 0.690
San Jose 14 58.3% 0.718
Seattle 8 28.8% 0.681
Syracuse 8 19.0% 0.768

Source: The InterStudy Competitive Edge, Regional Market Analysis 8.1 (June 1998).

















TABLE 3


Table 3—Average HMO Penetration and Average Index of Competition for MSAs with Differing Numbers of HMOs
# of MSAs Average HMO Penetration Average Index of Competition
1   HMO 14 5.0% 0.000
2   HMOs 19 7.3% 0.223
3   HMOs 25 13.4% 0.313
4   HMOs 40 19.7% 0.487
5   HMOs 30 25.2% 0.502
6   HMOs 28 18.2% 0.568
7   HMOs 29 28.5% 0.619
8   HMOs 28 30.6% 0.681
9   HMOs 18 26.1% 0.725
10 HMOs 16 34.0% 0.689
11 HMOs 13 33.7% 0.683
12 HMOs 8 38.9% 0.761
13 HMOs 10 46.6% 0.761
14 HMOs 8 35.3% 0.786
15 HMOs 11 26.1% 0.801
16 HMOs 2 33.0% 0.861
17 HMOs 2 50.5% 0.886
18 HMOs 6 36.4% 0.789
19 HMOs 3 36.1% 0.843
20 HMOs 0
21 HMOs 2 38.0% 0.872
22 HMOs 1 33.0% 0.821
23 HMOs 0
24 HMOs 0
25 HMOs 0
26 HMOs 0
27 HMOs 1 26.8% 0.805

Source: The InterStudy Competitive Edge, Regional Market Analysis 8.1 (June 1998).



















TABLE 4


56-126
H.R. 4277
Serial No. 78
S
COMMITTEE ON THE JUDICIARY
HENRY J. HYDE, Illinois, Chairman
F. JAMES SENSENBRENNER, Jr., Wisconsin
BILL McCOLLUM, Florida
GEORGE W. GEKAS, Pennsylvania
HOWARD COBLE, North Carolina
LAMAR S. SMITH, Texas
ELTON GALLEGLY, California
CHARLES T. CANADY, Florida
BOB INGLIS, South Carolina
BOB GOODLATTE, Virginia
STEPHEN E. BUYER, Indiana
ED BRYANT, Tennessee
STEVE CHABOT, Ohio
BOB BARR, Georgia
WILLIAM L. JENKINS, Tennessee
ASA HUTCHINSON, Arkansas
EDWARD A. PEASE, Indiana
CHRIS CANNON, Utah
JAMES E. ROGAN, California
LINDSEY O. GRAHAM, South Carolina
MARY BONO, California
JOHN CONYERS, Jr., Michigan
BARNEY FRANK, Massachusetts
CHARLES E. SCHUMER, New York
HOWARD L. BERMAN, California
RICK BOUCHER, Virginia
JERROLD NADLER, New York
ROBERT C. SCOTT, Virginia
MELVIN L. WATT, North Carolina
ZOE LOFGREN, California
SHEILA JACKSON LEE, Texas
MAXINE WATERS, California
MARTIN T. MEEHAN, Massachusetts
WILLIAM D. DELAHUNT, Massachusetts
ROBERT WEXLER, Florida
STEVEN R. ROTHMAN, New Jersey
Thomas E. Mooney, Sr., Chief of Staff-General Counsel
Julian Epstein, Minority Chief Counsel and Staff Director
C O N T E N T S
HEARING DATE
July 29, 1998 I601
TEXT OF BILL
H.R. 4277 I603
OPENING STATEMENT
Hyde, Hon. Henry J., a Representative in Congress from the State of Illinois, and Chairman, Committee on the Judiciary I601
WITNESSES
Campbell, Hon. Tom, a Representative in Congress from the State of California I608
Connair, Michael P., M.D., President, Connecticut State Medical Society, on behalf of The Federation of Physicians and Dentists, AFSCME I6055
deMontmollin, Steven J., Vice President and General Counsel, AV-MED Health Plan, on behalf of The American Association of Health Plans I6073
Fennell, Karen, R.N., M.S., Senior Policy Analyst, American College of Nurse-Midwives, on behalf of the Antitrust Coalition I6079
Palmisano, Donald J., M.D., Member, Board of Trustees, American Medical Association I6045
Pitofsky, Hon. Robert, Chairman, Federal Trade Commission I6010
LETTERS, STATEMENTS, ETC., SUBMITTED FOR THE HEARING
Campbell, Hon. Tom, a Representative in Congress from the State of California: Chart submitted for the hearing I6010
Connair, Michael P., M.D., President, Connecticut State Medical Society, on behalf of The Federation of Physicians and Dentists, AFSCME: Prepared statement I6057
deMontmollin, Steven J., Vice President and General Counsel, AV-MED Health Plan, on behalf of The American Association of Health Plans: Prepared statement I6075
Fennell, Karen, R.N., M.S., Senior Policy Analyst, American College of Nurse-Midwives, on behalf of the Antitrust Coalition: Prepared statement I6081
Palmisano, Donald J., M.D., Member, Board of Trustees, American Medical Association: Prepared statement I6047
Pitofsky, Hon. Robert, Chairman, Federal Trade Commission:
APPENDIX
Material submitted for the hearing I6091