Some major systems forbidinsurers to sell any plan excluding the hospital from the network.They could also require insurers to design plans that discourageenrollees' use of less expensive providers.
Senate Judiciary Chair Charles Grassley, R-Iowa, has asked theFederal Trade Commission to look into contracts between major health systems and insurers to seewhether they might be anticompetitive.
According to Modern Healthcare, Grassley wants the FTC tosee whether such contracts are playing a role in the rise of health care costs. Grassley cited aSeptember article from the Wall Street Journal that mentioned “hiddenfinancial arrangements between hospital systems and insurers thatincluded limitations on coverage offered by the plans to theirenrollees, which in turn would save the hospitals money.”
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Marlene Satter
Marlene Y. Satter has worked in and written about the financial industry for decades.
