[Timshel]

You can if not every actor in your system is trying to gouge the others ...

[koolba]

The ACA has specific language that limits insurance company profits to a percentage of gross costs of care.

It’s in their interests to have the provider costs be as high as possible as it directly limits their own profits.

To put it another way, when the private equity that bought your local doctor’s office raises their prices, your insurance company wins.