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surprise! health insurers are EXEMPT from key anti-trust laws!


From: Dave Farber <dave () farber net>
Date: Thu, 15 Oct 2009 13:57:34 -0700





Begin forwarded message:

From: Jim Warren <jwarren () well com>
Date: October 15, 2009 12:37:28 PDT
To: Dave Farber <dave () farber net>
Subject: surprise! health insurers are EXEMPT from key anti-trust laws!


What's all this conservative silliness about keeping the health- insurance cartel as a free-market competitive industry?

It turns out that, since the late 1940s, health insurance conglomerates have been EXEMPT from key anti-trust controls! They can LEGALLY do price-fixing! (And why haven't we heard about this from the liberals, before now?!)

--jim

http://bit.ly/4AxXer

...
Health Care for America Now's report [pdf] on insurance industry abuses documents how Blue Cross Blue Shield in Massachusetts and a big hospital made a deal to increase payments to providers, and providers made a deal to not allow any other insurer to pay them less. Thus, Blue Cross raised their rates, leading to a period of skyrocketing premium increases in Massachusetts, the hospital got rich off their locked in payments, and other hospitals and insurers in the state had to scramble to keep up. In all, people had to pay more, and those increased premiums were passed along to the hospitals in on the deal.

This kind of price fixing and deal making is absolutely illegal in other businesses, but in the insurance industry, because of their anti-trust exemptions, they're allowed to screw customers without repercussions.

Similarly, Health Care for America Now found that 94% of insurance markets in this country are "highly concentrated," a Department of Justice term that means these markets are at risk for monopoly. For example, in Arkansas [pdf], Blue Cross Blue Shield controls 75% of the market, a level of concentration that would raise anti-trust lawsuits in any other industry.

These kinds of market concentrations were caused by years of mergers, mergers that would never have been allowed under normal anti-trust rules. And this market concentration is a huge driver of skyrocketing costs.

Ending the anti-trust exemption would be a huge start towards ending these abuses.

The insurance industry needs two things: Real competition and an end to their anti-trust exemption.

Price fixing, backroom deals, collusion, and market-concentrating mergers should once again be illegal in health insurance. ...

... <SNIP> ...




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