The US Department of Justice reached a proposed settlement with OhioHealth Corp. to block the health system from seeking “anti-tiering” and “anti-steering” provisions that compel health plans to grant it favorable access terms.
The settlement would prohibit OhioHealth, a network of hospitals and doctors, from penalizing insurers for imposing higher cost-sharing on its enrollees than it does for other health systems. Health plans often use a number of cost incentives to guide members to providers with lower costs or higher quality.
OhioHealth would be granted some exceptions, including instances where it is the most prominent provider in a narrow network. ...
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