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House Subcommittee Considers Obamacare's Impact on Competition

John Commins, for HealthLeaders Media, September 20, 2013

"What's funny about the conversation you hear out of AHA and AHIP is sometimes you're hearing both sides of what is really the same coin," Richman told the subcommittee during the question-and-answer period.

"The insurers often lament consolidation among the providers and use that as a justification to consolidate themselves. Providers lament big insurance companies and use that as a justification for their own consolidation. This kabuki dance has gotten us to a large degree in this mess we are in."

Richmond also noted that the market model for providers is "one designed to capture a market and extract maximum dollars from payers."

"There is an alternative business model which really has not been pursued a whole lot among providers and that is to pursue efficiency or value-based models," he said. "It is one reason why business education is so critical to encourage both providers and administrators to really pursue. It involves a very different kind of economic model."

The subcommittee also heard from Thomas P. Miller, resident fellow at the American Enterprise Institute; Thomas L. Greaney, at law professor at St. Louis University School of Law; and consumer rights lobbyist David A. Balto, a former federal antitrust lawyer.


John Commins is a senior editor with HealthLeaders Media.

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2 comments on "House Subcommittee Considers Obamacare's Impact on Competition"


Donald Stumpp (9/20/2013 at 12:22 PM)
One more thing To Healthleaders: Is there any way you could stop using the term "Obamacare"? The lay press of course does, but I bet as a healthcare news source, your readers will know what you mean if the title was instead: House Subcommittee Considers ACA's Impact on Competition. The title of the Act which is not Obamacare.

Donald Stumpp (9/20/2013 at 11:38 AM)
I agree with Barak Richman rather than AHA or AHIP. I wonder if anyone made mention that health care costs are also more affected by volume rather than specific unit costs? The most cost effective medical procedure or hospital stay is the one that didnt need to happen because of early intervention or better population health. Check obesity rates of the past two decades. That's what has driven healthcare costs (among other things)