The district court’s decision, which determined the merger would likely impede competition, is “consistent with the realities that hospitals and health systems experience every day,” AHA said in a 32-page friend-of-the-court brief filed last week.
“When payer markets are concentrated, payers — and in particular, this often specifically means Anthem — are slow to shift from traditional fee-for-service reimbursement to systems that reward the ability to deliver better outcomes,” according to the AHA.
The D.C. circuit court has expedited Anthem’s appeal of the merger’s block, and will hear oral arguments for the case March 24. That’s about one month before the insurers’ April 30 merger agreement deadline.
More articles on payer issues:
3 most-read payer issues stories: Week of March 13-17
Humana won’t return to ACA exchanges even if they become ‘very viable’
17 payer, provider contract disputes, resolutions so far in 2017
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit