Tag: Medicare
Merck Sues HHS Over Medicare Drug Price Negotiations
Merck has filed a lawsuit against the Biden administration regarding Medicare's increased authority to lower drug prices for senior citizens under the Inflation Reduction...
US: Aetna divests Medicare business seeking CVS merger approval
Aetna announced plans on Thursday, September 27, to sell its Medicare prescription-drug business to WellCare Health Plans, a key step towards gaining regulator approval...
Health Care Reform, Provider Affiliations, and Antitrust Risks
Lona Fowdur, John Gale, Jul 17, 2012
The Accountable Care Act ("ACA") has brought to the fore the concept of Accountable Care Organizations ("ACOs"). These organizations...
Competitor Collaborations in Health Care: Understanding the Proposed ACO Antitrust Review...
Tasneem Chipty, May 12, 2011
Health care markets involve a complex interaction of facilities, physicians, and health plans to deliver patient care. Under ideal circumstances,...
A Not So Modest Proposal? The FTC/DOJ Proposed Statement of Antitrust...
David Pearl, Toby Singer, May 12, 2011
On March 31, 2011, the Federal Trade Commission and the Antitrust Division of the Department of Justice (the...
In Search of Antitrust Guidance and Safe Harbors for Accountable Care...
Gregory Pelnar, Mar 30, 2011
An Accountable Care Organization ("ACO") is "an organization of health care providers that agrees to be accountable for the quality,...
Are Clinically Integrated Physician Networks Candy-Coated Cartels?
Gregory Pelnar, Oct 11, 2010
Are "clinically integrated" physician networks that jointly contract with third-party payors such as Blue Cross little more than "candy-coated" cartels?...
Clinical Integration: Linchpin of Real Reform
Melinda Hatton, Oct 11, 2010
During the year-long debate over health care reform, removing barriers to clinical integration received far less attention than it should...
Clinical Integration: The Balancing of Competition and Health Care Policies
Christi Braun, Oct 11, 2010
The reason that clinical integration is a topic on which the Federal Trade Commission ("FTC") and the Department of Justice...