Probably more-so collusion between health providers and medical equipment companies. As long as the insurance company isn't losing money between total paid pre

Probably more-so collusion between health providers and medical equipment companies. As long as the insurance company isn't losing money between total paid premiums minus total claims, they don't have any incentive to care about overcharging. Artificially high medical prices do however work to their advantage during claim negotiations with health providers (e.g. "We know that piece of plastic you charged $1000 for only cost you $10, how about we give you $200").