Large insurers can stand up to smaller practices by threatening to exclude them out of network in favor of cheaper providers. What seems to be happening lately

Large insurers can stand up to smaller practices by threatening to exclude them out of network in favor of cheaper providers. What seems to be happening lately is a consolidation wave on every level of medical business in order to counter-act that. Most of the smaller private practices in my area have been bought up by large healthcare organizations named after various medieval saints.