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Businessmen with bows and arrows When it comes to preventing monopolistic behaviors by corporations in the health care sphere, federal and state agencies have been asleep at the switch.

Although the benefits world has been focused on consolidation among carriers, providers and pharmacy groups, other areas of health care are also seeing market domination by a handful of players. The consolidation of market share in industries such as medical device manufacturers, medical supplies and health care services are surely significant factors in rising health care costs for employer-sponsored health plans, yet much of it has happened under the radar.

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