Analysis of policy statement of antitrust enforcement policy regarding Accountable Care Organizations *

USA - May 30 2012
Section 2706 of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 ("PPACA" or the "Act") authorizes physicians, hospitals and other health care providers to form Accountable Care Organizations ("ACOs") to work together to manage and coordinate care for Medicare beneficiaries for purposes of the Act's Medicare Shared Savings Program.

Co-authors: Scott P. Perlman.

US Department of Justice challenges use by Blue Cross of most favored nation contracts *

USA - October 28 2010
The Antitrust Division of the US Department of Justice ("DOJ") has challenged the use of "most favored nation" clauses by an alleged dominant health insurer, contending that contracts guaranteeing a buyer the lowest price may exclude competition.

Co-authors: Mitchell D. Raup.

US Department of Justice challenges use by Blue Cross of most favored nation contracts *

USA - October 25 2010
The Antitrust Division of the US Department of Justice has challenged the use of "most favored nation" clauses by an alleged dominant health insurer, contending that contracts guaranteeing a buyer the lowest price may exclude competition.

Co-authors: Mitchell D. Raup.

Blue Cross-Michigan abandons merger plans in face of US Department of Justice antitrust challenge *

USA - March 10 2010
During the 2008 presidential campaign, then-candidate Barack Obama singled out health insurance mergers as an area his administration would target for increased antitrust enforcement.

Co-authors: Scott P. Perlman, Jonathan L. Lewis.