The big keep getting bigger. That seems to be the rule in our increasingly competitive health and human services system. Among health plans, health systems, and community-based provider organizations, organizational size—and consolidation of market share continues to grow (see Competition In Health Care Research).;;

On the health insurance side, a Blue Cross health plan has the largest overall state-level market share in 41 states. At the national level, UnitedHealth Group is the largest commercial health insurer in the U.S., and Centene has the highest market share in the exchanges. Based on the DOJ/FTC . . .

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