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Good article. Thank you. Just ran into this problem and the discussion is informative.
C’mon, Anthem. How dare you attack the profits of the non-profit (it’s just a tax status and not a goal) hospitals and the doctors? They need that 200% or more mark-up. Evidently, employers don’t mind paying since probably 70% of Anthem volume is ASO and the true payer is the employer. Oh wait, the Rand study shows they might care about prices. Hmmmm…. what to do?
Do the hospitals have a solution or answer besides “no, don’t mess with my revenue stream!”?