Physician negotiations with managed care plans: an antitrust primer.
In negotiating with third-party payers, physicians--whether acting independently or as members of independent practice associations--must proceed very cautiously to prevent antitrust exposure. This article describes a number of government investigations in this area and provides some specific "do's" and "don'ts" for avoiding the appearance of collective action that might be in violation of the antitrust laws.
Ronai
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Murtha, Cullina, Richter and Pinney, Hartford, CT.
Hudner
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HK
D016363:Antitrust Laws / Q000592:standards*; D007193:Independent Practice Associations / Q000331:legislation & jurisprudence; D016365:Liability, Legal; D008329:Managed Care Programs / Q000331:legislation & jurisprudence*; D017008:Negotiating; D010820:Physicians / Q000331:legislation & jurisprudence*; D012308:Risk Management / Q000331:legislation & jurisprudence; D014481:United States