Mergers and acquisitions in the commercial health insurance market have elbowed out any real competition in four out five metropolitan areas, the American Medical Association said Tuesday.

The AMA also announced its release of an analysis, which reports commercial health insurance market shares and federal concentration measures for 368 metropolitan markets and 48 states.

"New data presented by the AMA demonstrates the degree of anti-competitive market clout that some health insurers have gained through mergers and acquisitions," said AMA President Peter W. Carmel , M.D. "Our new report is intended to help regulators, lawmakers, researchers and policymakers identify markets where mergers among health insurers may cause competitive harm to patients, physicians and employers."

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