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New York radiology practice sues health care benefits administration firm contracted with major health care insurers alleging antitrust violations

  • Locke Lord LLP
  • -
  • USA
  • -
  • June 27 2008

A New York based radiology practice (the “Plaintiff”) filed an action in the United States District Court for the Eastern District of New York against a benefits administration firm, CareCore National, LLC, that provides services for insurers including Aetna, GHI, HIP, Healthnet, Healthfirst, and Oxford

Department of Justice reaches settlement in first traditional Section 2 case since 1999

  • Kilpatrick Townsend & Stockton LLP
  • -
  • USA
  • -
  • March 2 2011

On February 25, 2011, the United States Department of Justice (DOJ) announced that it settled an antitrust enforcement action against United Regional Health Care System of Wichita Falls, Texas (United Regional) in which the agency alleged that United Regional had monopolized one or more markets for hospital services by entering into agreements with health insurers not to do business with United Regional's competitors

Congress begins with renewed efforts to repeal insurer’s antitrust exemption

  • Dickinson Wright PLLC
  • -
  • USA
  • -
  • March 3 2015

Early into the 114th Congress, multiple bills have already been introduced that would repeal the insurance industry's limited antitrust exemption

DOJ and FTC announce proactive approach to monitoring post-Affordable Care Act antitrust compliance at joint workshop

  • Patterson Belknap Webb & Tyler LLP
  • -
  • USA
  • -
  • March 2 2015

On February 24 and 25, the DOJ and FTC held their second joint workshop to examine the state of health care competition in the United States. The

Health insurers’ motion to treble damages against pharmaceutical companies in antitrust case is granted

  • Locke Lord LLP
  • -
  • USA
  • -
  • February 7 2008

On June 1, 2005, after a jury trial lasting over three weeks, a jury found for Blue Cross Blue Shield of Massachusetts (“BCBS-MA”), Blue Cross Blue Shield of Minnesota (“BCBS-MN”), Federated Mutual Insurance Company (“Federated”), and Health Care Service Corporation (“HCSC”) (collectively “Plaintiffs”) against Mylan Laboratories Inc. and Mylan Pharmaceuticals Inc., Cambrex Corporation, and Gyma Laboratories (“Defendants”) on state law claims agreement in unreasonable restraint of trade; conspiracy in unreasonable restraint of trade; monopolization; and attempted monopolization in the Lorazepam active pharmaceutical ingredient (“API”) market, Lorazepam tablet market and in the Clorazepate API and tablet markets

Texas hospital accused of orchestrating an insurer boycott of competitor agrees to pay $700,000 to settle with Texas AG

  • Reed Smith LLP
  • -
  • USA
  • -
  • January 28 2009

In a time of economic crisis, when hospitals, like most other businesses, are struggling to operate within a constrained budget, Memorial Hermann Healthcare System (“Memorial Hermann”) agreed Jan. 26, 2009 to pay $700,000 to settle claims of the Texas Attorney General alleging that Memorial Hermann orchestrated an agreement among health plans not to do business with a new competitor, Town and County Hospital (“Town and Country”

DOJ approves UnitedHealth-Sierra merger, subject to divestitures

  • Squire Patton Boggs
  • -
  • USA
  • -
  • March 20 2008

The DOJ has agreed to allow the largest health insurer in the United States, UnitedHealth Group, to proceed with its planned US$2.6 billion acquisition of Sierra Health Services Inc., subject to the condition that UnitedHealth divest its Medicare Advantage policyholders and related assets in the Las Vegas area

FTC continues crackdown on unlawful collective fee negotiations

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • June 25 2009

The Federal Trade Commission's (FTC) aggressive enforcement of the antitrust laws regarding collective fee negotiations continued this month when the FTC sued a California independent practice association (IPA) for allegedly fixing the prices charged to healthcare insurers

Legislation introduced to eliminate federal antitrust exemption for health insurance and medical malpractice insurance companies

  • Locke Lord LLP
  • -
  • USA
  • -
  • September 17 2009

Today, Senate Judiciary Committee Chairman Patrick Leahy introduced legislation to eliminate the federal antitrust exemption for health insurance and medical malpractice insurance companies

House Committee votes to eliminate insurers’ federal antitrust exemption

  • Locke Lord LLP
  • -
  • USA
  • -
  • October 22 2009

On October 21, the House Judiciary Committee voted to repeal health and medical malpractice insurers’ long-standing federal antitrust exemption