"What's funny about the conversation you hear out of AHA and AHIP is sometimes you're hearing both sides of what is really the same coin," Richman told the subcommittee during the question-and-answer period.
"The insurers often lament consolidation among the providers and use that as a justification to consolidate themselves. Providers lament big insurance companies and use that as a justification for their own consolidation. This kabuki dance has gotten us to a large degree in this mess we are in."
Richmond also noted that the market model for providers is "one designed to capture a market and extract maximum dollars from payers."
"There is an alternative business model which really has not been pursued a whole lot among providers and that is to pursue efficiency or value-based models," he said. "It is one reason why business education is so critical to encourage both providers and administrators to really pursue. It involves a very different kind of economic model."
The subcommittee also heard from Thomas P. Miller, resident fellow at the American Enterprise Institute; Thomas L. Greaney, at law professor at St. Louis University School of Law; and consumer rights lobbyist David A. Balto, a former federal antitrust lawyer.