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U.S. Department of Justice Sues North Carolina Hospital System for Insisting on Anti-Steering Provisions in Insurance Reimbursement Contracts
Sheppard Mullin
June 16, 2016 "[T]he complaint is attacking a type of widely used contracting provision in which acute care hospital systems seek to prohibit insurance company payors from using 'steering' restrictions, which would otherwise be used to steer their insured patients to lower cost health care providers, including lower-cost hospitals, in exchange for lower premiums in so-called 'narrow network' insurance plans. The complaint then alleges that CHS has an approximately 50% share of the market for acute inpatient hospital care in the Charlotte metropolitan area, allegedly conferring market power on CHS." MORE >> |
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