Four out of five metropolitan areas in the United States lack acompetitive commercial health insurance market, according toanalysis from the American Medical Association.

“New data presented by the AMA demonstrates the degree ofanti-competitive market clout that some health insurers have gainedthrough mergers and acquisitions,” AMA President Peter Carmel saidin a news release.

There are several markets where mergers among health insurersmay cause “competitive harm to patients, physicians and employers,”Carmel said. The state with the least competitive commercial healthinsurance market is Alabama, followed by Alaska, Delaware, Michiganand Hawaii.

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