Becker's Healthcare January 22, 2026
Francesca Mathewes

Consolidation among health insurers has damaging effects on independent physician practices and their patients, according to the American Medical Association’s new report, “Competition in Health Insurance: A Comprehensive Study of U.S. Markets.”

AMA researchers analyzed data from 2024 across 384 metropolitan areas, all 50 states and the District of Columbia for the study, and found that the vast majority of health insurance markets are highly concentrated.

Here are five takeaways from the study:

1. Based on merger guidelines from the Department of Justice and Federal Trade Commission, 97% of metropolitan statistical area commercial markets were highly concentrated, up slightly from 95% in 2014.

2. In at least 91% of...

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