Are there any studies on Why Small Businesses are looking for alternative medical insurance solutions to BCBS of Michigan?

Not sure if this helps or not
Why Small Businesses are looking for alternative medical insurance solutions to BCBS of Michigan - Google Search

There are dozens of companies selling group insurance, BCBS is not nationally the largest by any means. So looking for other companies to help reduce cost, help get better customer service and other options such as HMO's and other programs are done all the time.