In our annual report, we examine health care enforcement trends, predict how health care enforcement may evolve, and offer practical guidance about what these trends and predictions mean for health care providers, payors, and...more
Back in December, we wrote about a district court ruling rejecting the Federal Trade Comission’s (“FTC”) motion to enjoin the proposed combination of Thomas Jefferson University (“TJU”) and Albert Einstein Healthcare Network...more
The Federal Trade Commission’s (“FTC”) recent winning streak in its ongoing challenges of hospital and physician mergers has, at least for now, ended in a Philadelphia U.S. district court. After six days of evidentiary...more
Since 2013, the Blue Cross Blue Shield Association has faced a series of purported class actions consolidated in the U.S. District Court in Alabama. In a recent decision focused upon the appropriate standard of review, the...more
4/16/2018
/ Antitrust Litigation ,
Antitrust Violations ,
Best Efforts Clauses ,
Blue Cross ,
Health Care Providers ,
License Agreements ,
Mergers ,
Multidistrict Litigation ,
Per Se Rule ,
Price-Fixing ,
Rule-of-Reason Analysis ,
Sherman Act ,
Single Entity Rule ,
Standard of Review
On Friday February 9, 2018, the U.S. Department of Justice (“DOJ”) Antitrust Division announced a settlement with Henry Ford Allegiance Health (“Allegiance”) of claims that Allegiance and certain other hospitals unlawfully...more
After five years of growth through a series of acquisitions, the Washington State Attorney General’s office filed a lawsuit to thwart and unwind the most recent expansion efforts of Franciscan Health System (“CHI Franciscan”)...more
9/13/2017
/ Acquisitions ,
Anti-Competitive ,
Antitrust Violations ,
Attorney General ,
Consumer Protection Act ,
Enforcement Actions ,
Health Care Providers ,
Healthcare Costs ,
Merger Controls ,
Price-Fixing ,
Sherman Act ,
State Antitrust Claims ,
The Clayton Act
On the eve of trial, and after years of litigation (including an appeal to the Sixth Circuit), all claims by Dayton, Ohio hospital The Medical Center at Elizabeth Place (“MCEP”) against Premier Health Partners (“Premier”)...more
8/17/2017
/ Antitrust Violations ,
Appeals ,
Boycotts ,
Dismissal With Prejudice ,
Health Care Providers ,
Hospitals ,
Joint Venture ,
Per Se Rule ,
Rule-of-Reason Analysis ,
Sherman Act ,
Standard of Review ,
Vertical Restraints
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
An ophthalmologist cooperative in Puerto Rico settled charges with the Federal Trade Commission (“FTC”) last week that it orchestrated an illegal boycott of a health plan. The FTC alleged that the cooperative urged its...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