For years, the conversation around health insurer consolidation and vertical integration has simmered through antitrust inquiries, oversight hearings, and policy papers. The Patients Over Profit Act (the “POP Act”), introduced in both chambers of Congress this fall, marks a decisive shift. Rather than regulating insurer-provider integration, the POP Act proposes to ban it outright. If passed, the POP Act would fundamentally reshape how Medicare dollars move through the U.S. healthcare system, not by adjusting incentives or introducing new reporting rules, but by redrawing the structural map itself.
Read the full article: Patients over Profit Act: A Federal Inflection Point on Insurer-Provider Integration and What Comes Next //
Source: https://www.lexology.com/library/detail.aspx?g=c68fc5bf-3630-44de-9236-89b397188dba