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That's not entirely true and a misstatement of how these work, take Blue Cross of Michigan. It is a nonprofit, it's board is controlled by the members, essentially they are the share holders, they have a interest in lower prices and an efficient operation.

How the board gets approved to be elected is a bit self selected, but in theory it should be controlled by people that have incentives, the same as a public corporation.

Now this is an insurance company and not a provider network,some provider networks are more self owned.

It's REALLY important to understand that non profits have just as much incentive to maximize their income as for profits.

They have no stock holders to pay, but the people running them will pay themselves multi million dollar wages if they can!

It’s important to note that in most countries the law even states that they need to pay competitive salaries for these positions, so they can’t even pay them much lower amounts than their non profit counterparts