Back in December, we wrote about a district court ruling rejecting the Federal Trade Comission’s (“FTC”) motion to enjoin the proposed combination of Thomas Jefferson University (“TJU”) and Albert Einstein Healthcare Network...more
The Federal Trade Commission’s (“FTC”) recent winning streak in its ongoing challenges of hospital and physician mergers has, at least for now, ended in a Philadelphia U.S. district court. After six days of evidentiary...more
On March 14, 2019, a California state court denied Sutter Health’s motion for summary judgment on claims of alleged price tampering and combination to monopolize under California’s Cartwright Act, the state’s principal...more
3/28/2019
/ Anticompetitive Behavior ,
Antitrust Violations ,
Cartwright Act ,
Case Consolidation ,
Healthcare Costs ,
Hospitals ,
Intent ,
Monopolization ,
Motion for Summary Judgment ,
Price-Fixing ,
Putative Class Actions ,
Restraint of Trade ,
Self-Insured Health Plans ,
Sherman Act ,
State Attorneys General ,
Vertical Restraints
Last month the Antitrust Division of the Department of Justice (the “DOJ”) announced a proposed settlement in its anti-steering case against Atrium Health (formerly known as Carolinas HealthCare System) (“Atrium”). US v. The...more
A private home health care agency’s attempted monopolization suit against a dominant public hospital system and its home health care agency will move forward following a federal district court’s denial of the defendant...more
3/15/2018
/ Anti-Steering Rules ,
Anticompetitive Behavior ,
Antitrust Litigation ,
Competition ,
Health Care Providers ,
Healthcare ,
Home Health Care ,
Hospitals ,
Judgment on the Pleadings ,
Medicare ,
Monopolization ,
Patient Referrals
On the eve of trial, and after years of litigation (including an appeal to the Sixth Circuit), all claims by Dayton, Ohio hospital The Medical Center at Elizabeth Place (“MCEP”) against Premier Health Partners (“Premier”)...more
8/17/2017
/ Antitrust Violations ,
Appeals ,
Boycotts ,
Dismissal With Prejudice ,
Health Care Providers ,
Hospitals ,
Joint Venture ,
Per Se Rule ,
Rule-of-Reason Analysis ,
Sherman Act ,
Standard of Review ,
Vertical Restraints
In an opinion written by Judge Posner, the Seventh Circuit on Friday gave its stamp of approval to a “must-have” hospital’s bargaining to exclude competitors from certain narrow-network payor contracts in and around Peoria,...more
6/12/2017
/ Antitrust Violations ,
Appeals ,
Contract Terms ,
Exclusive Dealing Agreements ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Monopolization ,
Patients ,
Payor Contracts ,
Preferred Hospital Networks Arrangement ,
Richard Posner ,
Summary Judgment
A federal district court denied summary judgment motions brought by both sides in the government’s antitrust suit against a Michigan hospital alleging an agreement not to compete in violation of Section 1 of the Sherman Act....more
6/7/2017
/ Advertising ,
Anti-Kickback Statute ,
Antitrust Violations ,
Attorney General ,
Competition ,
Department of Justice (DOJ) ,
Hospitals ,
Non-Compete Agreements ,
ProMedica ,
Sherman Act ,
Summary Judgment
On March 30, 2017, in a closely watched case, a federal district court denied the Motion for Judgment on the Pleadings filed by Carolinas Healthcare against the DOJ Antitrust Division and State of North Carolina’s Complaint...more
4/3/2017
/ Anti-Steering Rules ,
Anticompetitive Behavior ,
Antitrust Division ,
Antitrust Violations ,
Contract Terms ,
Department of Justice (DOJ) ,
Health Insurance ,
Hospitals ,
Judgment on the Pleadings ,
Motion for Judgment ,
Pleadings ,
Restraint of Trade
After fending off a motion for judgment on the pleadings in March 2015, a small hospital in Peoria, Illinois lost on summary judgment in its $300 million antitrust suit alleging illegal exclusive dealing and attempted...more
10/5/2016
/ Antitrust Litigation ,
Antitrust Provisions ,
Blue Cross ,
Blue Shield ,
Exclusive Dealing Agreements ,
Federal Trade Commission (FTC) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Hospitals ,
Monopolization ,
Summary Judgment
The Third Circuit reminds, “[i]n antitrust suits, definitions matter.” Last week, in applying that maxim, the court affirmed a lower court’s dismissal of a suit filed by a hospital against a competing hospital and physician...more
A popular weapon used to contain health care expenditures is the creation by payors and employers of tiered provider networks, which by differentiated co-pays attempt to steer insureds to less expensive choices. In...more
The Sixth Circuit on Tuesday voted 2 to 1 to reverse a district court’s grant of summary judgment under which a defendant hospital network had been found to be a single entity incapable of conspiring with itself in an...more
The waves of change affecting health care providers include reimbursement and funding developments, the impact of the Affordable Care Act, technological and medical advances, provider network design transformations imposed by...more
In a much anticipated appellate health care antitrust decision, the United States Court of Appeals for the Ninth Circuit upheld a district court’s finding that a consummated hospital-physician group merger violated Section 7...more
In a highly anticipated decision, the federal antitrust agencies’ reinvigorated hospital merger enforcement efforts received a boost when, for the first time this century, an appellate court upheld a Federal Trade Commission...more
In a significant groundbreaking victory, on January 24, 2014 after a bench trial, an Idaho federal district court judge upheld the FTC’s antitrust challenge to a hospital system’s (St. Luke’s) acquisition of a multispecialty...more
On February 19, 2013, the U.S. Supreme Court unanimously held that state-action immunity does not protect a state-created hospital authority from antitrust scrutiny over a proposed hospital merger where the anticompetitive...more
On January 16, the Department of Justice’s Antitrust Division (“DOJ”) announced that it does not presently intend to challenge the Greater New York Hospital Association’s (“GNYHA”) proposed gainsharing program. The program...more