Antitrust Provisions, Medicare, Department of Justice (DOJ)

[Event] 15th Annual Advanced Forum on Managed Care Disputes and Litigation - May 2nd - 3rd, Chicago, IL

American Conference Institute (ACI) on 3/4/2024

ACI’s Advanced Forum on Managed Care Disputes and Litigation offers an unparalleled learning experience, specifically designed for the MCO legal community. Attend and develop winning legal strategies and business best...more

Key Takeaways From the 2024 J.P. Morgan Healthcare Conference

Ballard Spahr LLP on 1/22/2024

Ballard Spahr attorneys from the firm’s Life Sciences and Health Care Industry Teams were on the ground for the 42nd Annual J.P. Morgan Healthcare Conference (JPM24) from January 7-10. While still less crowded than...more

DOJ Withdraws Health Care Antitrust Policy Statements

Ballard Spahr LLP on 2/7/2023

Summary - The DOJ upended health care antitrust enforcement guidance last Friday by withdrawing previous guidance from 1993, 1996, and 2011 it characterized as “overly permissive on certain subjects,” stating that it no...more

Antitrust Concerns for Large ACOs Operating in Commercial Markets

Epstein Becker & Green on 5/31/2018

According to the “Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program” (“Policy Statement”), issued by the Federal Trade Commission and the...more

Health Update - April 2017

Manatt, Phelps & Phillips, LLP on 4/25/2017

CMS Issues Self-Referral Disclosure Protocol for Stark Law Violations - On March 28, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a new voluntary self-referral disclosure protocol (SRDP) for disclosing...more

Congress Takes Long Look at Proposed Health Insurance Mergers

Baker Donelson on 11/3/2015

While the Department of Justice Antitrust Division is responsible for reviewing the proposed Anthem/Cigna and Aetna/Humana mergers for any potential competitive concerns, Congress jumped into the process with both feet in...more