By NextBestFitHospitals and specialist groups with high private prices
Providers that charge private insurers far more than public payers, including out-of-network specialty groups.
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Problems they gain from
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- Narrow networks and out-of-network surprises: Out-of-network providers can bill high charges.
- Patients can't know prices in advance: Opaque prices help sustain high charges.
- Surprise billing and a runaway arbitration system: Private-equity-backed emergency, anesthesia, and radiology groups win high awards.
- U.S. prices are far higher than in other countries: Providers with pricing power earn more per service.
- Hospital and physician consolidation raises prices: Dominant systems gain from higher commercial prices.