FTC Staff Seeks Empirical Research and Public Comments Regarding Impact of Certificates of Public Advantage; Project No. P181200
The COPA program could/might show lower costs, but all it showed in our community is the main monopoly, the hospital, (nonprofit) corporation, the ortho surgeons JV with the main monopoly, the post acute care facility (also a JV) with the community monopoly, the home health agency (a JV) with the community monopoly, the medical supply store, (a JV) with the community monopoly, the infusion therapy services (a JV) with the community monopoly, and amazingly except the ortho surgeons only one company owns the other half (for profit company) of the ancillary services. The business model for our community hospital is "if we don't own it, don't refer to them". Therefore, how can anyone ever expect quality control, fair pricing, competition, or continued innovation? This can be supported and proven. Home Health Agencies do not survive in our community, all non-hospital post acute care facilities have no Medicare A referrals, 100 percent are first given to the hospital JV to review first. The for profit company that jointly owns the facility with the hospital is allowed to staff 2 full time RNs 5 days a week while all other facilities are banned from marketing at the hospital. This new program has allowed hospitals to operate with monopolistic, for profit corporate greed. They are killing small business and eliminating independent physician practices. The laws are so skewed that no one can determine if there is a violation. In the mean time, our community monopoly gets to dictate who stays in business, who opens a business, and who becomes a milliionare. Our local monopoly is a statewide health system million in earnings above operations. How is it a corporation operated for all intense and purposes isn't paying taxes 317 million in revenue when they are controlling that much power?