"The Justice Department argues that these 'all-or-nothing' contracting tactics block payers from steering patients to lower-cost providers, insulating health systems from price competition."
"OhioHealth and NewYork-Presbyterian are cooperating with the reviews of their managed care agreements, but they both maintain that their contracting practices are lawful."
"Experts believe that these types of contracting practices do drive up healthcare costs and squeeze patients out of affordable care options."
The Department of Justice has filed lawsuits against OhioHealth and NewYork-Presbyterian Hospital for using all-or-nothing contracting tactics that hinder competition. These practices prevent payers from selecting individual facilities, which could lead to lower costs for patients. The lawsuits, initiated in February and March, argue that such tactics insulate these health systems from price competition, allowing them to maintain high prices. Both health systems assert their practices are lawful and beneficial, but experts believe they contribute to rising healthcare costs.
Read at MedCity News
Unable to calculate read time
Collection
[
|
...
]