Health Insurance Market Share Data

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Competition in health insurance: A comprehensive study of

Market concentration in the health insurance industry. Using 2019 data from Decision Resources Group (DRG),2 the most comprehensive and consistent source of data on enrollment in health maintenance organization (HMO), preferred provider organization (PPO), point-of-service (POS), public health exchange and consumer-

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Competition in health insurance: A comprehensive study of

commercial market share of 30 percent or greater. Finally, in 46 percent of MSAs, a single insurer’s market share was at least 50 percent. High concentration levels in health insurance markets are largely the result of consolidation (i.e., mergers and acquisitions), which can lead to the exercise of market

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Massachusetts Health Coverage & Market Share

Massachusetts Market Share Insured Private Market Source: CHIA 2019 Annual Report Connecticare Excluded 5 • BCBSMA has 43% of the market • HPHC (includes HPI), Tufts (includes THPP) and United have equal share of the market (12% each) All Other Aetna 3.5% UniCare 2.4% AllWays 2.3% HNE 2.3% Fallon 2.1% BMCHP 1.9%

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GAO 21 34, PRIVATE HEALTH INSURANCE: Markets Remained

Market Health Insurance Exchange, 2015 through 2018 37 Table 8: Average Market Share of the Largest Issuer across a State’s Rating Areas, Federally Facilitated Individual Market Health Insurance Exchanges, 2015 through 2018 40 Table 9: Number of Issuers in Each State’s Small Group Health Insurance Market, 2011 through 2018 42

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2020 MARKET SHAREREPORT

Insurance Agents and Brokers of America with year-end industry market share data to provide an updated assessment of the state of the independent agency system. All data in this report comes from A.M. Best and is printed with permission. The A.M. Best data separates captive agency and direct response carriers offering IIABA

Download: 2020-Market-Share-Report-BasedOn2019Data.pdf

From: independentagent.com

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DIRECT PREMIUMS Market MARKET SHARE Share Reports

Health Insurance Companies and Groups by State and Countrywide, combines data from all four statements to provide complete market share information for that line. (Note: The “Total All Lines” market share in this publication represents Total Line 35 as reported on annual statement Page 19 and, therefore, will include accident and health data.)

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From: naic.org

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GLOBAL REPORT Global Spending on Health: A World in

2.10 The health financing transition is mainly driven by public policy 23 3.1 126 countries had social health insurance in 2017 29 3.2 The share of social health insurance spending increased in middle income countries 30 3.3 Social health insurance spending grew faster than other health spending in low and middle income countries 30

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From: who.int

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Health Coverage

ACCESS TO INSURANCE COVERED LIVES HEALTH INSURANCE BY THE NUMBERS Data compiled by America’s Health Insurance Plans (AHIP), Center for Policy and Research, March 2019. NATIONWIDE 56% 14% 9% 21% 1% Health Plan Employees6E $79,017 Insurance-Related Employees7F $66,627 Health Plan Employees6E $45,334,549,000 Insurance-Related Employees7F

Download: StateDataBook_2019-FINAL.pdf

From: ahip.org

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2021: OVERVIEW OF THE HEALTH INSURANCE MARKET IN …

2021: OVERVIEW OF THE HEALTH INSURANCE MARKET IN KANSAS . receiving financial assistance using the most recent income data available. various metal levels indicate how you and your health insurance plan will share in the costs of care.

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From: insurance.ks.gov

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Global Insurance Industry Insights

Health. In the health insurance market, the global annual growth rate decreased from 9 percent in the 2014–15 period to 6 percent and 7 percent in subsequent years. The US continues to be the biggest contributor to the absolute growth of health premiums globally, driven by the expansion of coverage implemented with the Affordable Care Act.

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2019 Global Insurance Pools trends and forecasts: P&C and

percent of global market share in motor insurance) is the leading market and has continually recorded CAGRs above 10 percent in the past few years. The other emerging markets that have achieved high growth—that is, more than 10 percent CAGR over the past few years—are Colombia, India, Mexico, the Philippines, Poland, and Vietnam.

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From: mckinsey.com

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Competition in Health Care Markets

Medical Association's calculations of health insurance market structure. Leemore Dafny was kind enough to share her measures of market concentration for the large employer segment of the U.S. health insurance market. All opinions expressed here and any errors are the sole responsibility of the authors.

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From: nber.org

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2018 FLORIDA HEALTH INSURANCE MARKET REPORT

annual report on the state of the health insurance market in Florida. The following figures present enrollment, premium, and loss ratio summaries in Florida’s commercial (non-governmental) major medical health insurance markets as reported and compiled from data filed with the Office by each Accident and/or Health Coverage provider.

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From: floir.com

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East Africa Insurance Outlook Report 2019/2020

life insurance market relative to the nominal and real GDP. Life insurance premiums have been increasing on an annual basis as the demand for life insurance products rises. In 2018, the nominal GDP grew slightly slower at 7.5% (2017: 16.3%). However, the …

Download: ea_insurance_outlook_report_2019.pdf

From: www2.deloitte.com

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2019 INSURANCE MARKET REPORT

counties will have individual health benefit plans offered through both the Silver State Health Insurance Exchange (SSHIX) and the Off Exchange market, and all 2018 participating carriers are continuing to offer coverage in 2019. Nevada’s property and casualty insurance market continues to be competitive, with a large number of carriers

Download: 2019 Market Report_Final.pdf

From: doi.nv.gov

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Are Health Insurance Markets Competitive

The results offer the strongest evidence to date linking private health insurance premiums to the market power of insurers. The data also indicate that an increasing share of the population is purchasing coverage in the least competitive markets. As of 2005, 23 percent of employees in my

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From: hbs.edu

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GLObAL INSURANCE MARKET TRENDS

Foreword The ninth edition of Global Insurance Market Trends provides an overview of market trends to better understand the overall performance and health of the insurance market. This monitoring report is compiled using data from the OECD Global Insurance Statistics (GIS) database.

Download: Global-Insurance-Market-Trends-2019.pdf

From: oecd.org

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2019 ANNUAL REPORT

including a health insurance shopping tool and questions to ask when consumers are looking for coverage. Additional consumer guides are under development. The new Health Innovations (B) Working Group convened several times in 2019 to share information on state reinsurance waivers, research on insurer payments

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From: naic-static.org

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State of Medigap 2019

this share rising to 39 percent (2016 data) among beneficiaries without additional insurance coverage (such as Medicaid, employer-provided insurance, etc.). Between December 2016 and December 2017, the national Medigap enrollment increased from 13.1 million to 13.5 million beneficiaries. Medigap is an important source of health

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From: ahip.org

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Global Insurance Market Trends 2020

sources of comparable cross-country data on insurance. The Global Insurance Market Trends and OECD database provide a unique and growing source of data and information that can be used by central banks, the insurance sector and broader financial industry, consumers and …

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From: oecd.org

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2014 Market DIRECT PREMIUMS Share Reports

INTRODUCTION These 2014 Market Share Reports for the Top 125 Accident and Health Insurance Groups and Companies by State and Countrywide are intended to make market share information more readily available. Data from groups and companies filing …

Download: prod_serv_statistical_msr_hb.pdf

From: naic.org

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2020: OVERVIEW OF THE HEALTH INSURANCE MARKET IN …

2020: OVERVIEW OF THE HEALTH INSURANCE MARKET IN KANSAS . Open Enrollment for Individuals and Families for Plan Year 2020 . Kansas has a Federally Facilitated Marketplace (FFM) that utilizes the www.healthcare.gov platform. An enhanced direct enrollment pathway for consumers to enroll in health insurance coverage is available through the FFM.

Download: 2020-KID-Issue-Brief.pdf

From: insurance.ks.gov

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OECD Health Statistics 2020 Definitions, Sources and Methods

Data are collected as a share expressed in value. Values can for instance be the turnover of statutory health insurance. No Belgium Total marketTotal market: Data based on the ‘ex-factory’ prices for the hospital pharmacies and indicated selling prices for public pharmacies.

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From: stats.oecd.org

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2020 Japan Insurance Outlook

Insurance Business Act states that only insurers can be structured as mutual companies. Today, mutual insurers have a market share of around 30%. Shifting channels Tied sales representatives, including life planners, remain a prominent sales channel, especially for life insurance. But more customers are buying insurance products at banks or

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GAO 19 306, PRIVATE HEALTH INSURANCE: Enrollment …

Health Insurance Market, 2011-2016 60 Table 13: Market Share of the Single Largest and Three Largest Issuers in Each State’s Overall Small Group Health Insurance Market, 2014-2016 62 Table 14: Number of Issuers in Each State’s Overall Large Group Health Insurance Market, 2011-2016 65

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Six Economic Facts about Health Care and Health Insurance

6 Six Economic Facts about Health Care and Health Insurance Markets after the Affordable Care Act In the United States, health-care spending has nearly doubled as a share of GDP since the 1980s

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2017 Market Share Report FINAL

This report marks the 21st year in which A.M. Best Co. has provided the Independent Insurance Agents and Brokers of America with year-end industry market share data to provide an updated assessment of the state of the independent agency system. All data in …

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From: independentagent.com

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The Impact of Market Size and Composition on Health

a trade-off, as market outcomes are on average less favorable in more diverse coverage regions as the region expands. I. Data and Institutional Background We collected the premiums, financial char-acteristics, and associated insurance carrier for every health insurance plan offered on the healthcare.gov website. The website served

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Moving Markets: Lessons from New Hampshire’s Health Care

The dominant health plan in New Hampshire’s commer-cial insurance market is for-profit Anthem Blue Cross Blue Shield, a WellPoint subsidiary. State data show Anthem held 44% of the commercial health insurance market in 2011, while national for-profit Cigna and regional non-profit Harvard Pilgrim Health Care had shares of 24.5%

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From: chcf.org

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INSURANCE

The market share of private sector companies in the non-life insurance market rose from 13.12 per cent in FY03 to 54.32 per cent in FY19 (up to December 2018). In life insurance segment, private players had a market share of 33.51 per cent in new business in FY19 (up

Download: insurance-feb-2019.pdf

From: ibef.org

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2019 Healthcare Market Insights: NIGERIA

Market synopsis 3 Health expenditure 4 Health policy & provision 5 considering the fact that the health insurance scheme was made optional for states under the NHIS Act. Health insurance & social protection Data from the World Health Organisation (WHO)

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From: medicwestafrica.com

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Minnesota’s Changing Health Insurance Landscape: Results

the Minnesota Department of Health and the University of Minnesota, School of Public Health State Health Access Data Assistance Center (SHADAC). Health Insurance Coverage in 2017 The uninsurance rate rose significantly in Minnesota in 2017, from 4.3 percent in 2015 to 6.3 percent, leaving approximately 349,000 Minnesotans without coverage.

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From: health.state.mn.us

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Provider sponsored health plans Positioned to win the

than five percent share of total state health insurance enrollment) in 30 states (Figure 1). In Utah and New Mexico, a single PSP has greater than 15 percent market share. In other states (e.g., Wisconsin, Arizona, and Washington) enrollment is less concentrated; multiple PSPs combined have more than 20 percent health insurance market share.11

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From: www2.deloitte.com

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New Hampshire’s Health Insurance Market and Provider

illustrates the market shares for the New Hampshire commercial health insurance market by Group size. Anthem is the largest carrier, with nearly 41% of the state’s members, followed by Harvard Pilgrim Health Care (20.4%) Cigna (18.7%), and Aetna (7.8%).

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From: nh.gov

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Data Note: Changes in Enrollment in the Individual Health

Data Note: Changes in Enrollment in the Individual Health Insurance Market 4 Figure 3 Source: Kaiser Family Foundation analysis of data from Mark Farrah Associates Health Coverage Portal TM Note: Off-exchange enrollment includes both ACA compliant and non -compliant plans. Change from 2017 – 2018 is the change in first quarter enrollment.

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From: files.kff.org

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The Italian Insurance Market 2017

FY17 Key-data Italian life insurance market GWP €99bn, -3.6% vs. FY16 Life products distributed mainly through banking channel (61%) Largest life insurance company: Poste Vita (market share equal to 17.5%) Largest life insurance group: Intesa Sanpaolo Group (market share equal to 19.4%) 72 insurance companies operating in the life business

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From: pwc.com

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Revamping India’s health insurance sector with blockchain

the largest market share in the near future. Moreover, by 2025, the healthcare industry would be able to save more than USD 100 billion per year in costs related to data breach, information technology (IT), operations and support functions as well as insurance frauds.1 In health insurance, blockchain has the potential to solve the

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From: pwc.in

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ZLGH

The Accident and Health Market Share Report provides fundamental market information that can be used by state insurance regulators, insurers and others interested in analyzing the insurance industry. This report gives users an understanding of the overall size of the market by providing data

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From: content.naic.org

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Affordability on California’s Individual Market

Affordability on the individual market today. Data show how and why, despite great progress under the California’s individual health insurance market is share of covered services each year. After the consumer share hits this limit, the plan pays 100%.

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From: chcf.org

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European Insurance Overview 2019

Gen Liability General liability insurance Health Reins Health non-proportional reinsurance This ensures that the data has a high coverage in all countries and is reported in The concentration indicator is a measure of the market share of the national GWP that the …

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Insights on the ACA Risk Adjustment Program

Insurers with a larger market share were by definition closer to the market average while small-market-share insurers were more likely to be skewed toward either low-risk or high-risk individuals. • Each insurer’s premiums should reflect anticipated risk adjustment transfers and therefore in effect the risk of the entire market risk pool

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From: actuary.org

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Minnesota Saw Continued Improvement in Health Insurance

Improvement in Health Insurance Coverage Almost a Year into the Pandemic Key Findings: 1. The share of Minnesotans without health insurance continued to decline, to 4.1 percent in January 2021. 2. Despite losses in coverage through private employer s, Minnesotans continued to maintain access through increased enrollment in public health insurance

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From: health.state.mn.us

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WHO/Europe Voluntary health insurance

health insurance in Germany, 2006 63 List of tables and figures Reform of private health insurance in Germany, 2000–2011 64 Table 13.3 Comparison of health care expenditure and premiums in the statutory scheme and substitutive private coverage in Germany, 64 Table 14.1 Development and regulation of the VHI market in Greece, 1970–2013 69

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From: euro.who.int

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Health Insurance Companies and Plan Rates for 2020

Health Insurance Companies and Plan Rates for 2016 Keeping the Individual Market less than the share of income spent on premiums that is capped by the program. have one of the lowest “average plan liability risk scores” in the individual market . The most recent data shows California with the third-lowest score in 2018, placing it

Download: 2020_rate_booklet_final.pdf

From: hbex.coveredca.com

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UNDERSTANDING RECENT DEVELOPMENTS IN THE …

individual health insurance market, causing substantial changes in the size and composition of the enrolled population. Indeed, as illustrated in Figure 1, the individual market has grown rapidly as the ACA’s reforms have taken effect, with individual market enrollment rising from around 11 million before 2014 to close to 18

Download: 201701_individual_health_insurance_market_cea_issue_brief.pdf

From: obamawhitehouse.archives.gov

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STATE OF ALABAMA

Table 1' provides data on premium, claims, and transfers for these four issuers in the Small Group Market for the 2018 and 2019 benefit year. Table 2 then shows how a reduction in transfers by 50% would impact financial results. Note that this data is taken from a public source, (though we again must redact data from one of the sources).

Download: state-flexibility-requests-relating-risk-adjustment-transfer-reductions-2022-benefit-year.pdf

From: cms.gov

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Canadian Life and Health Insurance Facts

What's inside Industry profile 02 Industry at a glance 04 Canadian marketplace Lines of business 08 Life insurance 10 Retirement solutions 12 Health insurance Industry in detail 16 Assets, liabilities and capital 18 Total tax contributions 19 Global footprint Appendices (available on-line) 22 Provincial data 22 Historical data 22 CLHIA member companies 22 Glossary of insurance terms

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From: clhia.ca

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2020 Asia Pacific Insurance Outlook

The Asia-Pacific insurance industry is still riding a strong growth spurt, driven by China but also buoyed by positive performance in South Korea. Both premiums and penetration have risen. However, some mature markets have struggled as their populations age and consumer expectations shift. Insurance penetration rate, Asia-Pacific Life Non-life

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From: assets.ey.com

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DEPARTMENT OF HEALTH & HUMAN SERVICES

health insurance market in New Hampshire. market share, enrollment, profitability, and capital level data for each issuer in New Hampshire’s individual market, as well as a qualitative description of the relationship between New Hampshire’s small group and individual markets.

Download: nh_mlr_adj_decletter.pdf

From: cms.gov

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State Corporation Commission Bureau of Insurance Rate

Source: Annual Supplemental Health Care Report – Number of covered lives by market for 2014-2018. 2019 and 2020 data derived fr om the 2020 rate filings. 265,386 406,758

Download: ratepres2020.pdf

From: scc.virginia.gov

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FAQ Health Insurance Market Share Data

What is market analysis in healthcare?

Healthcare market analysis involves the research and evaluation of data to determine the financial stability and growth prospects of the healthcare industry. It does this by identifying sources of revenue and competition. Another term for healthcare market analysis is healthcare environmental analysis.

How is health care analytics improves patient care?

Ultimately, healthcare data analytics is about radially improving patient outcomes. Physicians can be monitored through a vast array of metrics aimed at tracking things from average length of visit to patient remission rates. Getting a clearer picture of individual performance in this way can help management give more tailored recommendations.

What is the future of healthcare analytics?

Historically, the healthcare industry is slow to act, but is in a prime position to capitalize on data and analytics insights. The future of healthcare analytics will include even larger collections of data for healthcare organizations to navigate and manage.

Why is data analytics healthcare?

Data analytics in healthcare, in its turn, is crucial for healthcare. As it is a decisive factor when defining the methods of treatment and prescribing medications. It can give us an entire picture of each patient's condition, precision-driven methods of care.

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