Hospitals and the antitrust laws.
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Regulations of Integrated Health Care are capable of overriding the barriers of separated outpatient and inpatient health care. These regulations create a situation of competition among health care providers, but not among payers. Since the laws exclude common regulations of competition laws, antitrust laws and public procurement laws from Integrated Health Care, insurance companies gain a relatively strong position in the competition for contracts. This is even enforced by the fact that no health care provider is entitled to request a contract with a specific insurance company. The main result is that insurance companies can determine the contracts deliberately.