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Consumers challenged by a decade of limited health insurance options

Writer's picture: Tex PatientsTex Patients

CHICAGO – Dominant health insurers in the vast majority of metropolitan areas across the United States have consolidated significant market share and driven away competition leaving consumers in local markets with a decade of very limited options for medical coverage, according to a new market analysis from the American Medical Association (AMA).


The 2024 edition of Competition in Health Insurance: A Comprehensive Study of US Markets (PDF) examined 382 metropolitan statistical areas (MSAs), the 50 states and the District of Columbia and tabulated commercial and Medicare Advantage (MA) market shares for the two largest health insurance companies in each of those geographic markets. It also analyzed state-and MSA-level market concentration according to measures used in federal merger guidelines issued in December 2023. Markets that exceed a regulatory threshold set by federal guidelines are considered “highly concentrated” and lack adequate health insurer competition.


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Paid for by the Texas Coalition for Patients

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