Private Medical Insurance UK Market Update

Executive summary. Part 1 Market size and trends: PMI market size (percentage penetration, premium income and claims paid) up to calendar year 1991; determinants of market growth; interplay with the NHS and the impact of the internal market; the price of PMI, components of PMI cost inflation (claims rates and "pure" medical price inflation) and implications for future growth prospects in the individual and company paid sectors of PMI; implications for growth and change in the private hospital industry. Part 2 PMI market structure: past dominance of the provident asssociations in PMI; impact of recent entrants; changes in market share; involvement of third-party administrators; increased role of intermediaries; self-insurance options. Part 3 Relations with healthcare providers: approaches to cost containment; tensions between insurers / hospitals and insurers / specialists; potential for restructuring private healthcare delivery; the likely future role of managed care in Britain in the individual and corporate PMI markets; opportunities for preferred provider arrangements; the effect of NHS reforms and the role for the NHS as a cost-effective provider of private medical care.