Most Americans don't have much of a choice when it comes to their insurance plan. More than 54% get health insurance through their employer. This lack of choice limits competition, which can drive prices higher.
Source: Why health-care costs are rising in the U.S. more than anywhere else
WHAT NONSENSE 
Large employers are mostly (60% of employers) self-funded, they don't use insurance. Employers of any decent size typically offer a choice of plans. It might be among high deductible plans, HMOs, PPOs, etc.
But what choice are we talking about? What competition? If a lack of choice for health insurance is a driver of costs, why are we talking about Medicare for All as the key to saving money?
The fact is creating more competition among insurance companies is counter productive. To be competitive insurers use networks and attempt to get providers to accept the lowest possible fee. To do that they offer the providers patients. That is much harder the more insurance companies are in the same area.
The view expressed in the quote is why we can't solve the health cost problem.
Health insurance premiums are not the price of health care.
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