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DOJ will not contest Greater New York Hospital Association gainsharing program

King & Spalding LLP
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USA
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January 22 2013

On January 16, 2013, the Department of Justice, Antitrust Division (DOJ) announced that it will not challenge a gainsharing program that the Greater

FTC and Pennsylvania Attorney general seek to block Reading Health System’s proposed acquisition of Surgical Institute of Reading

King & Spalding LLP
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USA
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November 19 2012

On November 16, 2012, the Federal Trade Commission (FTC) announced that the FTC and Pennsylvania Attorney General (AG) will jointly file a complaint in U.S

Federal Trade Commission settles with healthcare group over recent acquisitions of cardiologists

King & Spalding LLP
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USA
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August 7 2012

On August 6, 2012, the Federal Trade Commission (FTC) agreed by a vote of 5-0 to enter into proposed settlements with Renown Health regarding that group’s recent acquisitions of two cardiology groups in Reno, Nevada

Recent lawsuits allege anticompetitive market allocation conspiracy by Blue Cross and Blue Shield

King & Spalding LLP
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USA
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April 24 2012

Two recent lawsuits allege that Blue Cross and Blue Shield entities in North Carolina and Alabama have violated federal and state antitrust laws by engaging in concerted action with other Blue Cross Blue Shield (BCBS) plans nationwide to divide geographic markets among them, which has allegedly resulted in reduced competition and higher rates charged to end customers for healthcare services

FTC granted preliminary injunction against OSF Healthcare SystemRockford Health System

King & Spalding LLP
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USA
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April 9 2012

The U.S. District Court for the Northern District of Illinois granted the request for a preliminary injunction by the Federal Trade Commission (FTC), pending a full administrative trial before an FTC Administrative Law Judge (ALJ) on the merits of OSF Healthcare System’s proposed acquisition of Rockford Health System on April 5, 2012

Federal Trade Commission upholds challenge to Promedica’s acquisition of St. Luke’s

King & Spalding LLP
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USA
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March 30 2012

On March 28, 2012, the FTC upheld the Administrative Law Judge (ALJ)’s December 5, 2011 administrative decision that required ProMedica to divest itself of St. Luke’s Hospital by a vote of 4-0

FTC successfully challenges ProMedica-St. Luke’s merger

King & Spalding LLP
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USA
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January 6 2012

On December 5, 2011, the FTC obtained an administrative decision that requires ProMedica to divest itself of St. Luke’s Hospital

CMS issues ACO final rule; OIG issues interim final rule regarding ACO Shared Savings Program waivers

King & Spalding LLP
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USA
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October 24 2011

On October 20, 2011, the Centers for Medicare and Medicaid Services issued a prepublication copy of the final rule governing the Medicare Shared Savings Program for accountable care organizations

Agreements between dominant provider systems and payors may pose serious antitrust risk

King & Spalding LLP
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USA
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October 24 2011

Large health systems or physician groups with substantial market share in a particular geographic areaso-called “dominant” providersmust deal with a number of antitrust issues associated with, among other things, managing relationships with physicians and other providers and, of course, negotiating with payors

Innovative settlement of antitrust claims against specialty health care provider in a small market outlined in Pennsylvania v. Urology of Central Pennsylvania Inc

King & Spalding LLP
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USA
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October 10 2011

Specialty health care practices outside major metropolitan areas can easily constitute a large share of the relevant geographic market for services they provide, raising antitrust concerns

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