10 states with the least competitive health insurance markets

Alabama has the least competitive commercial health insurance market in the U.S., according to a 2017 update to the American Medical Association's Competition in Health Insurance research.

The data is intended to help identify markets with consolidation among commercial payers, especially where anticompetitive forces could affect patients and providers. The research reports the two largest insurers' commercial market shares and concentration levels for national markets.

Here are the 10 states with the least competitive health insurance markets, according to the AMA:

1. Alabama
2. Delaware
3. Hawaii
4. South Carolina
5. Louisiana
6. Michigan
7. Kentucky
8. Vermont
9. Alaska
10. llinois

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