California late last week announced a settlement with Sutter Health for $575 million to settle claims of anti-competitive behavior brought by the state attorney general as well as a class-action group that included employers and unions.

The deal, which California Attorney General Xavier Becerra called a “game changer for restoring competition,” also mandates that the largest hospital system in Northern California make significant changes in its operations and practices and saddles Sutter with a compliance monitor for at least 10 years to ensure those changes are made.