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AMA Analysis Lists States Where One Private Health Insurer Rules
American Medical Association [AMA] 
Nov. 8, 2013
"The 10 states with the least competitive commercial health insurance markets were: 1. Alabama, 2. Hawaii, 3. Michigan, 4. Delaware, 5. Alaska, 6. South Carolina, 7. North Dakota, 8. Nebraska, 9. Louisiana and 10. Rhode Island. Fifteen states had a single health insurer with a commercial market share of 50 percent or more. Forty-Five states had two health insurers with a combined commercial market share of 50 percent or more."
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