Self-insured health plans dominate the U.S. employer plan market, and three big health insurers — Elevance, Cigna and CVS Health — dominate the market for administrative services for those self-insured plans.
Jean Abraham, Amanda Cook and E. Tice Sirmans have published data supporting those conclusions in a paper on the "administrative-services only" market in Health Affairs, an academic journal that focuses on topics related to paying and delivering health care services.
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