Physician negotiations with managed care plans: an antitrust primer.

The Medical staff counselor Pub Date : 1993-01-01
S E Ronai, H K Hudner
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Abstract

In negotiating with third-party payers, physicians--whether acting independently or as members of independent practice associations--must proceed very cautiously to prevent antitrust exposure. This article describes a number of government investigations in this area and provides some specific "do's" and "don'ts" for avoiding the appearance of collective action that might be in violation of the antitrust laws.

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医生与管理医疗计划的谈判:反垄断入门。
在与第三方付款人谈判时,医生——无论是独立行事还是作为独立执业协会的成员——必须非常谨慎地行事,以防止反垄断风险。本文描述了这一领域的一些政府调查,并提供了一些具体的“该做”和“不该做”,以避免出现可能违反反垄断法的集体行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Health care reform and the practice of medicine. The evolution of medical staff credentialing. Physicians' tort liability for communications relating to AIDS. Antitrust pitfalls in outpatient services. Preparing adequate medical staff committee minutes: tips for handling a difficult task.
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