re: Concerning use of a physician-developed RVS by a cost-containment service to determine UCR price screens.
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re: Concerning a nursing home association's program to evaluate the quality of care provided by nursing homes.
Letter from M. Elizabeth Gee to Andrew K. Dolan, Esq., dated 07/31/87
re: Concerning a professional association's assistance to third-party payers in determining when foot surgery may be restricted to less expensive outpatient settings.
re: Concerning the formation, marketing, and operation of a partially integrated professional organization, owned by nine ophthalmologists in five separate medical practices, to offer services to HMOs and other groups on a capitation and fee schedule basis.
Proposed barter program with foreign countries for phosphate rock would avoid respondent's involvement in other than export trade and falls under the protection of the Webb-Pomerene Act, Decisions Volume 108
re: Concerning a proposal by an association of employers with self-funded health plans to negotiate with providers.
re: Concerning the formation and operation of a provider-controlled PPO in which the price agreements are between individual participating physicians and each payer.
re: Concerning the proposal of an insurer to enter into contracts with hospitals for DRG-based payment.
re: Concerning a proposal by a PPO composed of multiple hospitals and physician organizations to negotiate contracts with third-party payers.
re: Concerning a professional society’s peer review of physicians' fees that is mandatory and binding on the physician.
re: Relating to a survey of members' fees.
re: Concerning the development of a standard disclosure protocol for intraocular lens manufacturers who offer inducements to physicians.
re: Concerning a proposal by an insurer to develop a proprietary national network of managed health care systems and to function as a joint purchasing agent for commercial health insurers.
re: Relating to a survey of the range of dentists' fees in local markets.
re: Concerning the development and dissemination of a RVS by an association of physicians.
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 any counterveiling efficiency justifications, Decisions Volume 105
Expresses view that refusal to serve consumers who provide their own casket violates the funeral rule.
re: Concerning a survey of range of fees and average fees charged by members.
Manufacturing of polypropylene using propylene as a feedstock constitutes "petrochemical processing" and is an "oil and gas related asset" within the meaning of the Consent Order issued against respondent, Decisions Volume 104
Opines that refusal to accept a funeral because the family has purchased a third-party casket, and refusal to accept delivery of a third-party casket would be funeral rule violations.