Marion Healthcare brought suit against Southern Illinois Healthcare in August 2012 alleging that SIH secured unlawfully exclusive contracts that severely discourage competition in the local health care market. The third amended complaint filed in 2016 alleges that SIH offered discounted service rates to insurers that discouraged them from entering agreements with other local ambulatory surgical centers. SIH sought summary judgment in October 2017 arguing that its agreements with large insurers are nonexclusive because, as the Seventh Circuit recently found in Methodist, the contracts have short terms and out-of-network services are available. In March 2018, the court found there were sufficient issues of fact as to whether SIH had de facto exclusionary agreements with insurers and denied Defendants’ motion for partial judgment. Read more on the Source blog.