Calling the merger a “significant blow” to hospitals’ attempts to move toward a payment system that rewards good outcomes, instead of fee-for-service reimbursement, the American Hospital Association on Thursday filed an amicus brief urging the U.S. Court of Appeals for the District of Columbia Circuit to uphold a lower court decision blocking Anthem Inc.’s proposed $54 billion acquisition of Cigna Corp.

The AHA is a national organization representing nearly 5,000 hospitals and other providers and 43,000 individual members.

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