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System Health Providers, Inc., and Genesis Physicians Group, Inc.

System Health Providers and its parent corporation, Genesis Physicians Group, Inc., settled charges that they collectively bargained with health insurance firms to accept proposed fee schedules; discouraged members from entering into contracts directly with payers; and refused to deal with health insurance firms and other third-party payers except on collectively agreed upon terms. The order prohibits the recurrence of the alleged practices and actions.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
0110196
Docket Number
C-4064

R.T. Welter and Associates, Inc.

Eight Denver, Colorado physician groups specializing in obstetrics and gynecology and their non-physician agent settled allegations that the practice group and other physicians entered into collective contracts in an effort to increase prices and terms of services when dealing with health insurance firms and other third-party payers.
Type of Action
Administrative
Last Updated
FTC Matter/File Number
0110175
Docket Number
C-4063

Obstetrics and Gynecology Medical Corporation of Napa Valley, a corporation et al.

A doctors’ group consisting of nearly every obstetrician and gynecologist with active medical staff privileges at the two general acute care hospitals in Napa County, California settled charges that they restrained price and other competition by engaging in illegal agreements to fix fees and other terms of dealing with health care insurance plans. According to the complaint issued with the consent order, the doctors refused to deal with the third party payers except on collectively determined terms. The consent order not only prevents the doctors from engaging in similar practices in the future but also requires the dissolution of the group.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
0110153

Physician Integrated Services of Denver, Inc., Michael J. Guese, M.D., and Marcia L. Brauchler

A consent order settled charges that a Denver, Colorado physician organization and its members, its president, Dr. M. J. Guese, and its non-physician consultant, M. A. Brauchler, increased fees for services through collective boycotts and agreements in a effort to fix the prices they would receive from health care insurance payers. The order prohibits the organization and its members and other respondents from entering into any agreement with insurance payers or providers to negotiate on behalf of the physicians group.
Type of Action
Administrative
Last Updated
FTC Matter/File Number
0110173

Aurora Associated Primary Care Physicians, L.L.C., Richard A. Patt, M.D., Gary L. Gaede, M.D., and Marcia L. Brauchler

A consent order settled charges that the organization of internists, pediatricians, family physicians and general practitioners in the Aurora, Colorado area engaged in boycotts and entered into collective negotiations with health care insurers in an effort to increase the costs of physician services. The order prohibits the organization from entering into any agreement with insurance payers or providers to negotiate fees on behalf of the physicians group.
Type of Action
Administrative
Last Updated
FTC Matter/File Number
0110174

Alaska Healthcare Network, Inc.

An association of 86 physicians practicing in the Fairbanks, Alaska area settled charges that the Alaskan Healthcare Network illegally formulated a fee schedule based on its members’ current prices for use in negotiations with third-party payers in an effort to obtain higher prices for medical services.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9910103
Docket Number
C-4007

Colegio de Cirujanos Dentistas de Puerto Rico

The dental association with a membership of more than 1800 dentists practicing in Puerto Rico agreed not to encourage its members to enter into agreements that set or fixed the fees charged or terms and conditions under which dentists would deal with health insurance plans or other payers in an attempt to obtain higher reimbursement rates for dental services.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9710038
Docket Number
C-3953

Texas Surgeons, P.A.; Austin Surgical Clinic Association, P.A.; Central Texas Surgical Associates, P.A.; Surgical Associates of Austin, P.A.; Austin Surgeons, P.L.L.C.; Bruce McDonald & Associates, P.L.L.C.; and Capital Surgeons Group, P.L.L.C

General surgeons and six competing general surgery practice groups in the Austin, Texas area settled charges that they collectively refused to deal with two health plans, forcing the plans to accept the surgeons’ demands to raise surgical rates.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9810124
Docket Number
C-3944

Wisconsin Chiropractic Association, The, and Russell A. Leonard, In the Matter of

The Wisconsin Chiropractic Association and its executive director, Russell A. Leonard, settled charges that they conspired to fix the prices for chiropractic goods and services and to boycott third party payers in an attempt to obtain higher reimbursement rates for services and contracts in the La Crosse, Wisconsin area.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9710117
Docket Number
C-3943

North Lake Tahoe Medical Group, Inc.

Physicians practicing in the North and South Lake Tahoe areas settled charges that they conspired to fix the prices and terms for professional services. The consent order prohibits the IPA from engaging in collective negotiations to fix prices; refusing to deal with third party payers; and coercing payers into accepting PA fee schedules and minimum reimbursement rates.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9810261
Docket Number
C-3885

Mesa County Physicians Independent Practice Association, Inc.

A Colorado physicians' organization settled charges alleging that the Mesa County IPA conspired with its members to increase prices for physician services and thereby prevented third party payers such as preferred provider organizations, health maintenance organizations, and employer health care purchasing cooperatives from offering alternative health insurance programs to consumers in Mesa County.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9610027
Docket Number
9284

Dentists of Juana Diaz, Coamo, and Santa Isabel, Puerto Rico

Dentists in three communities in Puerto Rico settled charges that they refused to provide dental services under the government's managed care plan for the indigent unless they received certain prices. Under the terms of the consent order, the dentists are prohibited from jointly boycotting or refusing to deal with any third party payer to obtain higher reimbursement rates for dental services.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9810154

M.D. Physicians of Southwest Louisiana, Inc.

A group of physicians in the area of Lake Charles, Louisiana settled charges that they illegally conspired to fix the prices for professional services by engaging in joint price negotiations with third-party payers. The final consent order prohibits such practices but does allow the MDP to engage in legitimate joint conduct.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9410095
Docket Number
C-3824

Urological Stone Surgeons, Inc.; Stone Centers of America, L.L.C.; Urological Services, Ltd.; Donald M. Norris, M.D.; and Marc A. Rubenstein, M.D

Consent order settles allegations that Urological Stone Surgeons, Parkside Kidney Stone Centers, Urological Services. Ltd and two physicians engaged in a price-fixing conspiracy to raise the price for professional urologist services for lithotripsy procedures in the Chicago metropolitan area. The complaint alleges that the parties agreed to use a common billing agent, established a uniform fee for lithotripsy services, prepared and distributed fee schedules, and negotiated contracts with third party payers on behalf of all urologists using the Parkside facility. The consent order prohibits such practices in the future and requires the parties to notify the Commission at least 45 days before forming or participating in an integrated joint venture to provide lithotripsy professional services.

Type of Action
Administrative
Last Updated
FTC Matter/File Number
9310028
Docket Number
C-3791

College of Physicians-Surgeons of Puerto Rico; Centralmed Inc.; Fajardo Group Practice, Inc.; and Norte Med, Inc.,FTC and The Commonwealth of Puerto Rico

The Commission authorized staff to file a complaint and settlement in federal district court to settle allegations that the College and three physician groups engaged in an illegal boycott in an effort to coerce the government to make price-related changes under Puerto Rico's government-managed care plan for the indigent. According to the complaint, filed by the Commission and Puerto Rico's Attorney General in the U.S. District Court of Puerto Rico on October 2, 1997, the College and physicians engaged in an eight day boycott of all physician services for non-emergency patient care, which caused many people to be treated at area hospital emergency rooms and forced others to completely forego medical care. The settlement prohibits such practices in the future and in addition, requires the College to pay $300,000 to the catastrophic fund administered by the Puerto Rico Department of Health.

Type of Action
Federal
Last Updated
FTC Matter/File Number
9710011

Montana Associated Physicians, Inc., and Billings Physician Hospital Alliance, Inc.

Consent order prohibits Montana Associated and Billings Physician from engaging in any agreement with physicians to negotiate or refuse to deal with any health care maintenance organization or preferred provider organization and from fixing the fees charged for physician services.
Type of Action
Administrative
Last Updated
FTC Matter/File Number
9110008
Docket Number
C-3704

American Medical Association

Date
re: Professional society peer review of physicians' fees: required physician participation in advisory fee review; medical society discipline for fee-related conduct

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

Date
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...
Business Blog

I’ll pay you to give this blog post five stars

Date
Online customer reviews of products and services have become increasingly important in the marketplace. Many consumers rely on them to decide what to buy or where to buy it, and many companies rely on...