BOSTON (AP) -- The top health insurers in Massachusetts have posted sharply  lower earnings for the second quarter compared with the year-ago period because  of pressure from small business customers and the state to hold down premium  increases.
The state's largest health insurer, Blue Cross Blue Shield of Massachusetts,  on Wednesday posted net income in the quarter ending June 30 that was 50 percent  lower. The drop was steeper for other plans -- more than 56 percent at Harvard  Pilgrim Health Care, nearly 94 percent at Tufts Health Plan, and more than 68  percent at Fallon Community Health Plan.
The Boston Globe reports that insurers  attributed quarterly earnings declines primarily to efforts to keep premiums  low. They also cited a more competitive market, with companies trying to attract  customers with lower-cost products.