Today the Wellpoint Borg collective has assimilated the last of the resistant for-profit Federation Blues spaceships that was challenging them in the outer Galaxy. But shouldn’t it be the Empire crushing the rebels rather than being the rebels (or am I mixing two famous sci-fi memes).
Given that the attempts by other Blues to turn for-profit have mostly been nixed, the health insurance now left with a big chunk of regional non-profit Blues, and 6-10 big national for-profit giants (with Wellpoint and United being more gigantic than the rest) and Kaiser and its lookalikes. But there isn’t such a thing as a national health insurance company–all of them are basically still running local market plans, and all are vulnerable to the cream-skimming going on in the HDHP market.
I guess there are some consolidation savings somewhere in all this mix, but I don’t see how any of this revolutionizes healthcare, although it does seem to have succeeded in revolutionizing the bank accounts of lots of execs at formerly sleepy health plans.