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tci Part B Insider - 2005 Issue 21
FTC Shoots The 'Messenger Model' In NM Antitrust Probe
Another independent practice association reached a consent order with the Federal Trade Commission to settle antitrust charges. The San Juan IPA had represented around 80 percent of the non-hospital-employed physicians in the Farmington, NM area, and purported to use the "messenger model," where an entity carries offers to and from individual physicians and payors. But in fact the IPA was orchestrating joint pricing among physicians, the FTC alleged: the IPA was a party to joint contracts that a joint venture negotiated, and it also collectively negotiated and refused to deal with some payors. Also, the IPA refused to...
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Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
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