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circle of pawns whose shadow makes one kingEven though growth in concentration was more restrained among large group plans, there still has been some change in state markets.

Insurance markets in the U.S. continue to be increasingly concentrated, according to a new study from the Government Accountability Office (GAO).

The report looked at three insurance markets: the large group market (health insurance sponsored by large employers), the small-group market (insurance sponsored by small employers), and the individual market (insurance sold directly to individual consumers who lack access to group coverage, usually through the Affordable Care Act’s (ACA) individual marketplaces.)

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