Jason Bleak runs Battle Mountain General Hospital, a small facility in a remote Nevada gold mining town that he described as "out here in the middle of nowhere."
When several representatives from private health insurance companies called on him a few years ago to offer Medicare Advantage plan contracts so their enrollees could use his hospital, Bleak sent them away.
"Come back to the table with a better offer," the chief executive recalled telling them. The representatives haven't returned.
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