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Some major systems forbid insurers to sell any plan excluding the hospital from the network. They could also require insurers to design plans that discourage enrollees’ use of less expensive providers.

Senate Judiciary Chair Charles Grassley, R-Iowa, has asked the Federal Trade Commission to look into contracts between major health systems and insurers to see whether they might be anticompetitive.

Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

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