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Here’s Why Your Hospital Bills Are So Big — And Why Congress Doesn’t Care

If the right and left agree on reining in hospitals’ abusive tactics, then why hasn’t Congress acted?

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How’s this for bipartisanship? Groups on both the left and the right can agree on not just a major policy problem but potential solutions for it.

Yet corporate influence and lobbying have stymied action on reform for far too long. Welcome to America’s dysfunctional health care system — brought to you in part by Big Hospitals.

High Prices, Monopoly Power

Recently, the left-leaning advocacy group Families USA released an analysis of hospital pricing data, with a particular focus on big corporate chains. For 15 large systems, the hospitals charged commercial insurance an average of 282 percent of Medicare rates, while earning an average of $22.1 million in net income per hospital.

Breaking down the data by various metrics (rural versus urban, etc.), the prime differentiator became apparent. Independent hospitals charged an average of 221 percent of Medicare rates, while earning an average of $3 million per hospital per year. By contrast, hospitals that comprised part of a larger system charged an average of 277 percent of Medicare rates, while earning an average of $27.7 million in net earnings........

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