With Anthem’s recently announced plans to buy Cigna for $48.4 billion, the American Medical Association is once again sounding the alarm about mergers and acquisitions in the health insurance industry, which the nation’s largest physician group says reduce competition and patient choice.

AMA charges that the ongoing trend of consolidations among health insurers is creating a market dynamic which “allows the few remaining companies to exploit their market power, dictate premium increases and pursue corporate policies that are contrary to patient interests.”

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