“The market power of health insurers continues to prompt anti-competitive concerns among physicians,” Wilson said. “To help restore a competitive balance to health insurance markets, the AMA urges the federal and state agencies to prohibit harmful insurance company mergers and adopt policies that would level the playing field between small physician practices and large insurers.”
Zirkelbach said an analysis by AHIP of last year’s AMA study was beset with errors of fact and methodology. “For example, the AMA data exclude some types of self-funded plans, a large and growing portion of the market, and show significantly higher market concentration than data available from the National Association of Insurance Commissioners,” he said. “Moreover, a simple search on the new HealthCare.gov shows that in every state, families and employers have multiple choices of both insurance plans and types of coverage.”
Zirkelbach said that AHIP’s analysis showed that the states that are often cited as examples of high market concentration actually have some of the lowest premiums in the nation.