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
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
The Third Circuit reinstated an antitrust suit brought by a medical device seller that alleged Blue Cross Blue Shield Association and five of its member insurance plan administrators shut out the seller by conspiring to deny...more
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
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
Over two and one-half years after it was initially filed, an antitrust suit brought by plaintiff ambulatory surgery centers (“ASCs”) against health insurers and a trade association of competing health systems is finally...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