TOPIC INDEX OF HEALTH CARE ANTITRUST ADVISORY OPINIONS
BY COMMISSION AND STAFF

February 10, 2001

I. NETWORK JOINT VENTURES

A. Physician Network Joint Networks

Associates in Neurology, Inc., To Robert C. Norton; August 13, 1998. (IPA network composed of eleven neurologists formed to contract with managed care plans).

Phoenix Medical Network, Inc. To William T. Harvey; May 19, 1998. (Physician network of osteopathic services providers formed to contract with third party payers).

Yellowstone Physicians, L.L.C. To David V. Meany, Esq.; May 14, 1997. (Multispecialty physician network joint venture formed to contract with third party payers).

Uronet of Louisiana, L.L.C. To Christopher C. Johnston; January 23, 1996. (IPA network of urologists formed to contract with managed care plans).

Eastern Ohio Physicians Organization, Inc. ("EOPO"). To Stephen P. Nash,Esq.;September 28, 1995. (Multi speciality physician organization established to contract on behalf of its participating physicians with third party payers).

Hematology/Oncology Care Specialists of Western Pennsylvania, P. C. To Stephen P. Nash, Esq.; September 21, 1995. (Physician network of hematology/oncology services providers formed to negotiate with third-party payers).

Otolaryngology Specialty Providers of Georgia. To Thomas W. Rhodes, Esq.; August 15, 1995. (Physician network of otolaryngology services providers formed to facilitate individual contracts among network members and payers).

Northwestern Nevada Orthopaedic Surgery Alliance. To Jacqueline C. Cox; July 11 & 27, 1995. (Physician network of orthopaedic services providers formed to facilitate individual contracts among network members and payers).

Oakland Physician Network, L.L.C. To John A. Cook, Esq.; March 28,1995. (Physician network joint venture composed of primary care physicians formed to market primary and specialty physician services to health benefit plans).

Rocky Mountain Cardiovascular Affiliates. To Neil E. Ayervais, Esq.; September 23, 1994. (Limited liability company composed of physician cardiovascular services practices formed to negotiate and contract with third party payers).

South East Managed Care Organization/Jackson Medical Cooperative. To George Q. Evans, Esq.; July 5, 1994. (Physician network joint venture between physician directed managed care organization and group of physician providers).

ACMG, Inc. To Paul W. McVay, President; July 5, 1994. (Proposed agreement between state medical society and independent health care management and development company to establish society- sponsored state-wide PPO).

California Managed Imaging Medical Group, Inc. To J. Bert Morgan, Esq.; November 17, 1993. (Radiologist-owned PPO network to provide professional radiology services to payers on a regional or statewide basis; letter discusses fee-setting, market power, and limitation of provider panel).

Maryland Medical Eye Associates. To Charles E. Rosolio; May 15, 1987. (Formation, marketing, and operation of a partially integrated professional organization, owned by nine ophthalmologists who are in five separate medical practices, to offer services to HMOs and other groups on a capitation and fee schedule basis).

Pacific International Health, Inc. To Richard C. Greenberg, Esq.; August 28, 1986. (Formation and operation of a provider-controlled PPO; price agreements to be between individual participating physicians and each payer).

Kitsap Physicians Service. To William G. Kopit, Esq.; May 22, 1984, and March 26, 1984. (Proposal by physician-owned IPA/HMO with most of the local physicians as participants to close off access to plan to new/additional physicians).

HMO/IPA. To Gilbert M. Frimet, Esq.; March 22, 1984. (Use by IPA of fee schedule to allocate capitation payment among participating physicians; proposal to require exclusive dealing by IPA members with the IPA).

B. Hospital/Physician Network Joint Ventures

IPA Sponsored PPO. To Martin J. Thompson; June 20, 1991. (Physician IPA network that sponsors a PPO to negotiate prices with hospitals whose services will be marketed as part of the PPO).

Pan American Management Associates. To Robert P. Macina, Esq.; June 27, 1989. (Limited partnership between hospital and physicians to establish a PPO; physicians to be excluded from price negotiations with payers).

California PPO. To Michael A. Duncheon, Esq.; March 17, 1986. (Proposal by PPO composed of multiple hospitals and physician organizations to negotiate contracts with third-party payers).

C. Hospital Network Joint Ventures

Mayo Medical Laboratories. To George A. Cumming, Jr., Esq.; July 17, 1996. (State or regional networks of hospital laboratories providing outpatient laboratory services organized to compete for payer contracts).

D. Other Provider Network Joint Ventures

Northeast Pharmacy Service Corporation. To Paul E. Levenson; July 27, 2000.
(Network of independent pharmacies in Massachusetts and Connecticut offering package of medication-related patient care services to physician groups).]

Orange Pharmacy Equitable Network. To John A. Cronin, Pharm D., J.D.; May 19, 1999. (Network of retail pharmacies and pharmacists offering drug product distribution and disease management services).

Alliance of Independent Medical Services, LLC. To Timothy C. Cashmore; December 22, 1997. (Network of ambulance and ambulette services providers formed to contract for transportation services with third party payers).

New Jersey Pharmacists Association. To Allen Nichol, Pharm. D.; August 12, 1997. (Pharmacist network offering health education and monitoring services to diabetes and asthma patients).

First Look, L.L.C. To James L. Wiant; June 19, 1997. (Network of optical firms organized to respond to requests for proposals for employer contracts for optical and vision services).

Ohio Ambulance Network. To Shawn M. Lyden, Esq.; January 23, 1997. (Network of ambulance and ambulette services providers formed to contract for transportation services with third party payers).

Mobile Health Resources. To John A. Cook, Esq.; January 23, 1997. (Network of ambulance companies formed to contract for transportation services with third party payers).

Southwest Florida Oral Surgery Associates. To Guy E. Whitesman; December 2, 1996. (Cooperative of oral and maxillofacial surgery practices formed to jointly market services to third party payers).

Southern Arizona Therapy Network, Inc. To Martin Janello; December 7, 1995. (Provider network of physical, occupational, and speech therapists organized to facilitate contracts among network members and payers).

Palmetto Dental Alliance. To Scott Y. Barnes, Esq.; September 23, 1994. (Proposed exclusive provider organization to provide dental services to beneficiaries of third party health benefits plans).

E. Other Joint Bidding

California All Health. To William G. Kopit, Esq. and Clifford E. Barnes, Esq.; June 14, 1995. (Joint venture of six health maintenance organizations formed to bid for certain California Medicaid contracts).

Peer Review Organizations of Ohio Foundation. To Larry D. Spencer, Executive Director; April 25, 1984. (Association of nine Professional Standards Review Organizations to bid for contract with HHS to serve as a Peer Review Organization for Ohio under the Medicare program).