A physician-hospital organization (PHO) consists of 15 hospitals

A physician-hospital organization (PHO) consists of 15 hospitals – with 2,247 staffed beds – and approximately 500 physicians. The PHO operates in a very large section of south Georgia, including the cities of Valdosta, Tifton, Thomasville, Moultrie, and Waycross. The PHOs’ physician members represent approximately 90 percent of all physicians practicing in the region. The PHO served as a vehicle through which competing hospitals and physicians could bargain collectively with health plans to obtain higher fees for themselves. The owner PHOs, member hospitals, and member physicians canceled contracts with payors and informed them that the PHO would be the sole entity through which they would enter into payor contracts. To contract with the PHO, payors allegedly have had to accept the fixed physician fee schedule and fixed discount of no more than 10 percent off hospital list prices. 1.Explain why this arrangement would be found “per se” illegal under the FTCs’ analysis. 2.What kind of actions could be taken to restructure this arrangement to avoid a determination that it is per se illegal? 3.Discuss the alternate FTC analysis that is applied to such cases if they are suspect but not found to be per se illegal. Assignment Expectations 1.Limit your responses to a maximum of three pages, not including title and reference pages. 2.Be sure to utilize at least 3-4 scholarly references to support your discussions. 3.Be sure to properly cite your references within the text of your assignment and listed at the end. Privacy Policy | Contact Required Reading D.A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics. The Internet Journal of Law, Healthcare and Ethics. 2004 Volume 2 Number 1. DOI: 10.5580/24ae – See more at: http://ispub.com/IJLHE/2/1/12416 Managed Care and Physician Incentives: The Effects of Competition on the Cost and Quality of Care. David J. Cooper and James B. Rebitzer. March 2004. http://myweb.fsu.edu/djcooper/research/managedcare.pdf Government Agencies Soften Stance on What Constitutes Price Fixing. David A. Ettinger and Mark L. Lasser (March, 2008) http://corporate.findlaw.com/litigation-disputes/government-agencies-soften-stance-on-what-constitutes-price.html Diagnosing Physician-Hospital Organizations. Susan A. Creighton. Federal Trade Commission Remarks Before American Health Lawyers Association, Program on Legal Issues Affecting Academic Medical Centers and Other Teaching Institutions. January 22, 2004. Washington, DC. Retrieved from: https://www.homeworkessaymarket.com/write-my-paper/ftc.gov/public-statements/2004/01/diagnosing-physician-hospital-organizations Department of Justice and Federal Trade Commission. (1996, Aug) Statements of health care antitrust enforcement policy; Statement 9 multiprovider networks. pp.106-141. Retrieved from: https://www.ftc.gov/sites/default/files/attachments/competition-policy-guidance/statements_of_antitrust_enforcement_policy_in_health_care_august_1996.pdf The above policy has been updated (Statement 9 on Multi-provider Network), Read the updates below: Revised Statements on Multi-provider networks: http://corporate.findlaw.com/law-library/revised-policy-statements-on-health-care-antitrust-enforcement.html Optional Reading Competition in the healthcare marketplace. https://www.homeworkessaymarket.com/write-my-paper/ftc.gov/bc/healthcare/antitrust/index.htm Improving Health Care: A Dose of Competition: A Report by the Federal Trade Commission and the Department of Justice (July 2004). https://www.homeworkessaymarket.com/write-my-paper/ftc.gov/reports/healthcare/healthcarerptexecsum.pdf QuickCounsel Antitrust: U.S. Laws and Regulations. Elizabeth Killingsworth, Esq. https://www.homeworkessaymarket.com/write-my-paper/acc.com/legalresources/quickcounsel/auslar.cfm Privacy Policy | Contact

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