Issue link: https://beckershealthcare.uberflip.com/i/572638
85 T he American Medical Association released its latest analysis of competition in health insurance markets in all states and Wash- ington, D.C. e analysis — which the AMA cited in its oppo- sition to proposed mergers between Anthem-Cig- na and Aetna-Humana — found 14 states had a single health insurer with at least 50 percent share of the commercial health insurance market, while 46 states had two insurers with at least 50 percent share of the commercial market. Here are the states, listed in order of least com- petitive, with little competition among commer- cial health insurers. e AMA based rankings on market concentration levels as determined by the Herfindahl–Hirschman Index, a measure used by the U.S. Department of Justice and the Federal Trade Commission. 10 states with least competitive commercial health insurance markets Commercial insurance refers to the combined HMO, PPO and POS markets 1. Alabama 2. Hawaii 3. Michigan 4. Delaware 5. Alaska 6. South Carolina 7. Louisiana 8. Nebraska 9. Illinois 10. North Dakota 10 states with least competitive HMO markets 1. Alabama 2. Vermont 3. South Carolina 4. Utah 5. Louisiana 6. Nebraska 7. North Dakota 8. Nevada 9. Idaho 10. Colorado 10 states with least competitive PPO markets 1. Alabama 2. South Carolina 3. Michigan 4. Iowa 5. Louisiana 6. North Carolina 7. Delaware 8. Nebraska 9. Tennessee 10. Hawaii 10 states with least competitive POS markets 1. Rhode Island 2. Oklahoma 3. Nebraska 4. Montana 5. New Mexico 6. Iowa 7. Alabama 8. Alaska 9. Mississippi 10. Arizona 10 states with largest drop in competition levels Reflects biggest decrease in competition among commercial insurers between 2010-2013 1. Louisiana 2. Idaho 3. New Jersey 4. Missouri 5. Montana 6. Illinois 7. Texas 8. West Virginia 9. Iowa 10. Ohio n 10 States With Least Competitive Commercial Health Insurance Markets By Molly Gamble Surgery Partners Files for IPO: 5 Things to Know By Carrie Pallardy S urgery Partners' announced plans to file for an initial public offer- ing in May. Now, the ASC company has filed for its IPO, according to a Reuters report. Here are five things to know. 1. Surgery Partners filed for IPO of common stock Aug. 17. 2. e filed IPO indicated a fundraising target of $100 million, ac- cording to the report. e filing did not indicate how many shares Surgery Partners plans to share or the expected price per share. 3. Surgery Partners, owned by H.I.G. Capital, is valued at approxi- mately $2 billion. 4. Surgery Partners intends to list its common stock on the Nasdaq under the symbol "SGRY," according to the report. 5. Surgery Partners acquired Symbion in 2014. e company now owns facilities in 28 states. n