Práxedes E. Alvarez Santiago, M.D., et al. (“PR Nephrologists”), In the Matter of

Last Updated:
In the Matter of Práxedes E. Alvarez Santiago, M.D., Daniel Pérez Brisebois, M.D., Jorge Grillasca Palou, M.D., Rafael Garcia Nieves, M.D., Francis M. Vázquez Roura, M.D., Angel B. Rivera Santos, M.D., Cosme D. Santos Torres, M.D., and Juan L. Vilaró Chardón, M.D.
FTC Matter/File Number:

1210098

Enforcement Type:

Part 2 Consents

Case Summary

On 2/28/2013, Eight independent nephrologists in Puerto Rico settled Federal Trade Commission charges that they illegally collectively bargained with insurers and refused to treat health plan patients when their price demands were rebuffed. Under a proposed order settling the FTC’s charges, the doctors are barred from jointly negotiating prices, jointly refusing to deal with any insurer, and jointly refusing to treat patients. According to the FTC’s complaint, the eight doctors have violated federal antitrust laws since late 2011 by 1) collectively negotiating and fixing the prices upon which they would contract with Humana to extract higher reimbursement rates, and 2) collectively terminating their contracts with Humana and refusing to treat Humana patients enrolled in the Mi Salud program when Humana would not meet their price demands. On 5/3/2013, the FTC approved a final order settling charges that eight independent nephrologists in Puerto Rico illegally collectively bargained with insurers and refused to treat health plan patients when their price demands were rebuffed.