Health Care Antitrust Issues

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Advisory Opinions

Advisory opinion concerning the legality of the American Society of Internal Medicine's proposal to develop and disseminate relative value guides

Date

April 19, 1985

Proposed development of a relative value guide for physician services to be distributed to member internists would be likely to have anticompetitive effects that probably would not be outweighed by...

Advisory opinion concerning the legality of the American Society of Internal Medicine's proposal to develop and disseminate relative value guides (586.39 KB)

Advisory Opinions

American Society of Internal Medicine

Date

April 19, 1985

re: Concerning the development and dissemination of a RVS by an association of physicians.

Letter from Emily Rock to William G. Kopit, Esq., dated 04/19/85 (2.58 MB)

Advisory Opinions

Utah Society of Oral and Maxillofacial Surgeons

Date

February 8, 1985

re: Concerning a survey of range of fees and average fees charged by members.

Letter from Arthur Lerner to Dennis L. Dedecker, D.D.S., Secretary, dated 02/08/85 (221.51 KB)

Advisory Opinions

Tarrant County Medical Society

Date

July 11, 1984

re: Concerning a medical society’s advisory fee review program for the voluntary resolution of disputes.

Letter from Arthur Lerner to Lynn C. Perkins, M.D., President, dated 07/11/84 (205.36 KB)

Advisory Opinions

Kitsap Physicians Service

Date

May 22, 1984

re: Concerning a proposal by a physician-owned IPA/HMO, with most of the local physicians as participants, to close off access to the plan to additional physicians.

Letter from Arthur N. Lerner to William G. Kopit, Esq., dated 05/22/84 (180.17 KB)

Kitsap Physicians Service - Letter from Arthur N. Lerner to William G. Kopit, E…

Advisory Opinions

Maine Medical Association

Date

May 14, 1984

re: Concerning a proposal by a physician association to urge members to freeze fees or to lower fees by a given percentage.

Letter from Arthur N. Lerner to Frederick C. Holler, M.D., President, dated 05/14/84 (290.72 KB)

Advisory Opinions

Peer Review Organizations of Ohio Foundation

Date

April 25, 1984

re: Concerning a proposal by an 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.

Letter from Arthur N. Lerner to Larry D. Spencer, Executive Director, dated 04/25/84 (1.48 MB)

Advisory Opinions

Kitsap Physicians Service

Date

March 26, 1984

re: Concerning a proposal by a physician-owned IPA/HMO, with most of the local physicians as participants, to close off access to the plan to new/additional physicians.

Letter from Arthur N. Lerner to William G. Kopit, Esq., dated 03/26/84 (744.58 KB)

Advisory Opinions

HMO/IPA

Date

March 22, 1984

re: Concerning the use by an IPA of a fee schedule to allocate capitation payment among participating physicians, and a proposal to require exclusive dealing by IPA members with the IPA.

Letter from Arthur N. Lerner to Gilbert M. Frimet, Esq., dated 03/22/84 (629.41 KB)

Advisory Opinions

Medical Society of the County of Erie

Date

March 13, 1984

re: Concerning the use of HCFA's Medicare fee profile by the association as a reference aid in reviewing the reasonableness of disputed fees.

Letter from Arthur N. Lerner to Werner Strupp, Esq., dated 03/13/84 (162.88 KB)

Advisory Opinions

American Podiatry Association

Date

March 13, 1984

re: Concerning the use of HCFA's Medicare fee profile by the association as a reference aid in reviewing the reasonableness of disputed fees.

33.pdf (212.41 KB)

Advisory Opinions

North Carolina Chiropractic Association

Date

February 29, 1984

re: Concerning provisions in the association’s code of ethics regarding advertising, prior approval of advertising, and fee discounts.

Letter from Arthur N. Lerner to Collin M. Haynie, D.C., Chairman, Ethics Committee, dated 02/29/84 (364.11 KB)

Advisory Opinions

American Podiatry Association

Date

August 18, 1983

re: Concerning peer review of fees, utilization, and quality of care.

Letter from Timothy Muris to Norman Klombers, DPM, Executive Director, and John Grad, Esq., General Counsel, Podiatry Society of Virginia, dated 08/18/83 (472.61 KB)

Advisory Opinions

American Academy of Ophthalmology

Date

June 17, 1983

re: Concerning provisions in a code of ethics regarding delegation of services to non-physician health care providers, arrangements for postoperative care, use of experimental procedures, and...

Letter from Michael A. Baggage to Jerald A. Jacobs, Esq., dated 06/17/83 (1010.43 KB)

Advisory Opinions

Health Care Management Associates

Date

June 7, 1983

re: Concerning a PPO organized by an independent intermediary between physicians and payers.

Letter from Emily H. Rock to Irwin S. Smith, M.D., President, dated 06/07/83 (296.53 KB)

Advisory Opinions

Rhode Island Professional Standards Review Organization

Date

May 9, 1983

re: Concerning peer review of a private employers' health benefits programs.

Letter from Emily H. Rock to Edward J. Lynch, Executive V.P., dated 05/09/83 (259.56 KB)

Advisory Opinions

Burnham Hospital

Date

February 24, 1983

re: Concerning the grant to a physician group of the exclusive right to offer radiology services at a hospital.

Letter from the Commission to Robert E. Nord, dated 02/24/83 (1.04 MB)

Advisory Opinions

Louisiana Health Care Association

Date

April 23, 1982

re: Concerning a group purchasing agreement for nursing home association's members.

Letter from Thomas J. Campbell to Steven E. Adams, J.D., Director of Governmental Relations dated 04/23/82 (616.04 KB)

Advisory Opinions

Iowa Dental Association

Date

April 8, 1982

re: Concerning a professional society’s peer review of dentists' fees.

Letter from Carol M. Thomas to Peter M. Sfikas, Esq., dated 04/08/82 (276.23 KB)

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