PHOs face obstacles under new antitrust standards

Article Abstract:

The Federal Trade Commission and Dept. of Justice have drafted antitrust rules pertaining specifically to physician-hospital-networks (PHO) which would make it harder for them to prove they are pro-competitive than for physicians' networks. According to the new standards, PHOs have to establish their competitive merits according to stringent qualifications establishing whether they share financial risks with outside physicians, use the messenger model for pricing, and provide superior caliber services that would benefit consumers.

Author: Johnsson, Julie
Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Health Regulation NEC, Antitrust NEC, Standards, Health care industry, Antitrust law, United States. Department of Justice, Social policy, United States. Federal Trade Commission, Medical law

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Nevada doctors launch managed care medical society

Article Abstract:

A group of Nevada health maintenance organization physicians has formed a new medical society there to address the needs of such doctors. The group says that the Nevada State Medical Assn does not adequately represent HMO physicians, which the state association denies. However, Gabriel Bonnet says that the state association opposes the principles of managed care. The new society expects to recruit at least 700 Nevada HMO doctors.

Author: Mitka, Mike
Professional Organizations, Medical Associations, Physicians, Medical professions, Associations, Medical societies

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More doctors on PHO boards

Article Abstract:

The IRS issued a ruling that physician representation on physician-hospital organization (PHO) boards should reflect their level of investment in the PHO. Health care experts had thought that the IRS would limit representation to about 20%, and they were pleased with the latest ruling. PHO are agreements between physicians and hospitals to deliver integrated medical services.

Author: Mitka, Mike
Management, United States. Internal Revenue Service

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Subjects list: Laws, regulations and rules, Hospitals, Hospital-physician joint ventures
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