“No part of health care was supposed to be spared,” commentator Jeffrey Singer: “Doctors, hospitals, insurers, pharmaceutical companies and others were given regulatory and financial incentives to merge.”
Last year, Cigna announced it was in talks to merge with Humana. In 2016, the DOJ blocked the merger of Anthem and Cigna and the merger of Humana and Aetna.last year on all this, pointing out that “the companies said those proposed deals were triggered by the Affordable Care Act, which was fully implemented in 2014.”then rattled off a list of acquisitions and mergers, both vertical and horizontal, since Obamacare became law.
Also, the regulations in Obamacare are pushing the big insurance companies into buying up medical practices. Specifically, Obamacare required insurers to meet a minimum “Medical Loss Ratio” — in short, they must spend a certain portion of their money on paying providers. Analyststhat insurers at risk of missing their required MLR just pay bonuses to doctors’ practices that they own.
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