Meanwhile, insurance companies, hospitals and doctors' practices all are consolidating to achieve greater clout even as many call for a single-payer system.
It's a big issue, but this week in Philadelphia, there's an opportunity to look at it through a very local lens as speakers line up to testify at the Pennsylvania Insurance Department's hearings on the proposed merger of Independence Blue Cross and Highmark Inc.
The merger, an example of consolidation, would create the state's largest insurer. One reason the two Blues want to merge? To save money on advanced technology.
But hospitals and doctors worry about the potential clout of a merged organization as they bargain over reimbursements. Businesses want stabilized premiums. Advocates seek help for the uninsured and better care for all.
The drill: Public hearings on the proposed merger are scheduled at the Sheraton Center City, 201 N. 17th St., on Tuesday from 9 a.m. to 5 p.m. and 7 p.m. to 9 p.m., and on Wednesday from 9 a.m. to conclusion.
Watch the hearings at . The link will be live only during the hearings on Tuesday and Wednesday.
Contact staff writer Jane M. Von Bergen at 215-854-2769 or jvonbergen@phillynews.com.