“Mergers are sweeping health care, as insurers, hospitals and doctors seek economic shelter from the federal government by linking up and getting big. These merger trends were underway before Obamacare. But there’s little question the law purposely hastened these developments.
The law’s architects saw big insurers, big health systems and big hospitals as the best platforms for delivering medical care. Size, it wrongly was believed, would lead to more efficiency. It also would make medical care easier to regulate from Washington, D.C.”
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