LLP, working with
the American Medical Association and the Federal Trade Commission (FTC),
has begun to loosen the restrictions on provider networks and physician
The FTC asked for our guidance in
articulating the relief needed for physicians. Please let us know if you
have any situations which, on a no-name basis, merit communicating to the
Although legislative relief is not yet
available, the FTC and the Department of Justice have recently approved
many proposals for the operation of provider-sponsored networks. Recent
FTC staff advisory opinions and Justice Department Business Review
Letters have provided networks with as few as 10 to as many as 1000 doctors
in a network, some regional, some statewide, and with as many as 70% of
the specialists in an area.
Beautyman Alvstad, LLP has participated in developing eighteen provider networks. Among these networks are Omnia, a network of over 200 ob/gyn physicians in southeastern Pennsylvania, and Pennsylvania Radiology MSO, a statewide radiology network consisting of 35 hospitals, 80 outpatient facilities, and 650 radiologists. We are also advising Delaware Valley Neurosciences and Spine Cooperative.
we secured a preeminent network payor contract, eliminating withholdings
and increasing fees by 25% in exchange for network services.