Medscape January 24, 2025
Randy Dotinga

Competition among US private insurance companies has generally declined since 2011 in large-group, small-group, and individual markets, a government report found. However, the trend has slowed or even reversed in some states over the past few years.

Meanwhile, an American Medical Association (AMA) analysis warns that “the vast majority of health insurance markets remain stubbornly highly concentrated and at risk for insurer mergers to substantially lessen competition.”

The findings, released in a pair of recent reports, paint a picture of an insurance market that’s dominated in many states and regions by three or fewer competitors. But there hasn’t been a rush toward concentration like the one that’s been seen among hospitals and physicians over the past few years, University of...

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