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This document appears to be a page from a report or article submitted to the House Oversight Committee, focusing on the economics of the medical supply chain and hospital billing practices. It uses a case study of a 2012 food poisoning outbreak at a Buddhist monastery in Carmel, N.Y., to illustrate how medical supply distributors (like Cardinal Health) operate and how patients face opaque billing structures, such as a grandmother and toddler billed $1,400 despite having Medicaid coverage. The text highlights the role of group-purchasing organizations and the impact of the Affordable Care Act on hospital consolidations.
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