Re: a level playing field?

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Fri Sep 22 11:15:50 2000


Ya, how about the Alaskan doctors refusing to see patients at any price for a week? That would be interesting.

--
Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC

15200 Southwest Freeway, #270 Sugar Land, TX 77478 Tel: 281-277-3900 Fax: 281-277-3901

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-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of art fougner, md Sent: Friday, September 22, 2000 10:18 AM To: Multiple recipients of list OB-GYN-L Subject: GEN: a level playing field?

this from today's Reuters -

Alaska physicians settle price-fixing charges with the FTC Last Updated: 2000-09-21 16:01 EDT (Reuters Health)

WESTPORT, CT (Reuters Health) - A group of Alaska physicians has settled charges with the Federal Trade Commission (FTC) that it fixed prices and refused to deal with payers who would not agree to the group's collective demands.

The FTC also charged the 86 member physicians of the Alaska Healthcare Network (AHN) with acting in concert to prevent other health plans from penetrating the Fairbanks market. For patients, the scheme resulted in fewer physician options and higher prices, the FTC said.

"AHN and its members engaged in a conspiracy to set prices and hamper the entry of managed care plans into the Fairbanks market, resulting in higher prices and limited choices for physician services," Richard G. Parker, director of the FTC's Bureau of Competition, said in a press release announcing the settlement.

According to the FTC's complaint, the AHN described itself to members as a vehicle allowing them to band together to bargain as a group with payers. When it was formed in 1996, a wide range of health plans were seeking contracts with Fairbanks physicians.

AHN negotiated with at least seven payers using a fee schedule based on members' current prices, the complaint notes. With one exception, all of the talks ended with no resolution, it says. Furthermore, the FTC asserts that the network refused to transmit contract offers to its members unless it was satisfied with the negotiation and that members were advised to deal with payers only through AHN to get the best prices and terms.

Under terms of the proposed settlement announced on Wednesday, AHN physicians would be prohibited from acting in concert to refuse to deal with plans or to restrict other physicians' ability to negotiate with a health plan. The order does not prevent AHN from entering "legitimate" joint ventures permitted under federal antitrust guidelines, such as risk-sharing or clinically integrated arrangements.

The FTC voted 5-0 in favor of the proposed settlement, with two commissioners issuing a separate statement on a portion of the proposed remedy. The commissioners oppose a proposed cap on the number of physicians who would be permitted to participate in a legal joint venture.

-Westport Newsroom 203 319 2700

any comments?

art

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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