María Elena Vásquez / Diario Libre
A recent study by the National Commission for the Defense of Competition (Pro-Competencia) reveals that three Health Risk Administrators (ARS) control 70% of the Dominican Republic’s health insurance market, raising concerns about competition and access to affordable care.
The report, titled “Study on Market Competition Conditions in the ARS Sector (2010–2024)”, also highlights that private ARS entities manage 85% of the funds for the Family Health Insurance System (SFS), which has seen its revenues surge from RD$24 billion in 2010 to RD$114 billion in 2023—a 363.24% increase.
Pro-Competencia president María Elena Vásquez said the report identified a 33% profit margin per affiliate for private ARS, based on a Lerner Index of 0.33. She called the finding a “wake-up call” for policymakers.
The high yields of the ARSs...
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