The health insurance companies aren’t the only part of the health care colossus that is fleecing America.

Federal policies have rewarded massive consolidation of hospital systems. Their bureaucracies now rival the government itself in complexity and waste. Since 2010, their administrative costs have nearly doubled.

If Congress does nothing else in its next health care bill, the absurd practice of Medicare paying more for the same doctor’s visit if the practice is owned by a hospital system has to end.