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US: Aetna divests Medicare business seeking CVS merger approval

Aetna announced plans on Thursday, September 27, to sell its Medicare prescription-drug business to WellCare Health Plans, a key step towards gaining regulator approval...

Health Care Reform, Provider Affiliations, and Antitrust Risks

Lona Fowdur, John Gale, Jul 17, 2012 The Accountable Care Act ("ACA") has brought to the fore the concept of Accountable Care Organizations ("ACOs"). These organizations...

Competitor Collaborations in Health Care: Understanding the Proposed ACO Antitrust Review...

Tasneem Chipty, May 12, 2011 Health care markets involve a complex interaction of facilities, physicians, and health plans to deliver patient care. Under ideal circumstances,...

A Not So Modest Proposal? The FTC/DOJ Proposed Statement of Antitrust...

David Pearl, Toby Singer, May 12, 2011 On March 31, 2011, the Federal Trade Commission and the Antitrust Division of the Department of Justice (the...

In Search of Antitrust Guidance and Safe Harbors for Accountable Care...

Gregory Pelnar, Mar 30, 2011 An Accountable Care Organization ("ACO") is "an organization of health care providers that agrees to be accountable for the quality,...

Are Clinically Integrated Physician Networks Candy-Coated Cartels?

Gregory Pelnar, Oct 11, 2010 Are "clinically integrated" physician networks that jointly contract with third-party payors such as Blue Cross little more than "candy-coated" cartels?...

Clinical Integration: Linchpin of Real Reform

Melinda Hatton, Oct 11, 2010 During the year-long debate over health care reform, removing barriers to clinical integration received far less attention than it should...

Clinical Integration: The Balancing of Competition and Health Care Policies

Christi Braun, Oct 11, 2010 The reason that clinical integration is a topic on which the Federal Trade Commission ("FTC") and the Department of Justice...

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