Competition record
NewYork-Presbyterian
Deep profile · 1 linked library matter
NewYork-Presbyterian is a New York hospital system that contracts with health plans for the rates it is paid. Self-funded plans sued over all-products and gag clauses, a report in the week of 5 October 2026 said dismissal was denied, and the case continues.
Overview
An all-products clause says a plan that wants one hospital or one service has to take the rest of the system's contracts. A gag clause limits what those plans can tell others about the rates they negotiated.
Self-funded employers, which pay hospital claims directly, sued over both kinds of clause. A report in the week of 5 October 2026 said the court denied dismissal.
Denial of dismissal means the case continues. It is not a finding that the clauses are unlawful.
Competition footprint
All-products contracting ties access to a hospital a plan cannot easily skip to the rest of the NewYork-Presbyterian portfolio.
Gag clauses restrict what self-funded employers and their consultants can say about negotiated prices.
The case is past a failed motion to dismiss and is still open.
Consumer & business angle
Self-funded employers pay the claims and are the plaintiffs, while patients see a copay rather than the contract clause.
Insurers that administer those plans sit between the employer and the hospital contract.
What to watch
- How the all-products claims proceed after dismissal was denied.
- What the gag-clause claims cover now that the case continues.
Markets
hospital services · health-plan contracting · inpatient hospital care
Also known as: new york presbyterian, nyp