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But there is real potential that they will significantly impede competition and raise prices. With so little transparency about how these companies operate, transfer money internally, or treat others in the market, there is ample opportunity for merged entities to engage in gaming and anticompetitive actions that disadvantage other market players, decrease options for consumers, and drive health care spending higher. Examples include the following:. There are several steps that Congress and the FTC can take to further evaluate and mitigate the adverse effects of consolidation in the health care market.

We know with near certainty that big systems and insurers will be going on a shopping spree for struggling providers after the pandemic subsides. By taking action now, Congress and regulators can help prevent market distortions that could adversely affect the cost and quality of care.

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