FACTBOX: Health company winners, losers in U.S. House bill

WASHINGTON (Reuters) - The U.S. House of Representatives voted 220-215 on Saturday to pass legislation overhauling the nation's $2.5 trillion health care system.

The Senate must also vote on its version of a bill, which is not expected until December at the earliest, and both chambers would then meet to work out a final measure.

Following are some of the winners and losers in the U.S. healthcare industry based on language in the House bill.

LOSERS ...

HEALTH INSURERS

Health insurers such as UnitedHealth Group Inc, Cigna Corp and others could see greater competition, more scrutiny and fewer protections under the bill.

The sector has said it would take a big hit from a government-run insurance plan that Democrats say would force insurers to streamline. Cooperative exchanges and the sale of insurance plans across state lines also aim to give consumers more information and choices that could redefine the market.

Profit margins could also shrink with the bill, forcing insurers to give customer rebates if less than 85 percent of an enrollee's premiums are spent on actual care.

The public plan itself could also undercut insurers by paying doctors, hospitals and others rates as low as those offered by the Medicare plan for the elderly and disabled. Rate hikes by private insurers would also be scrutinized.