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Allcare The FTC And Public Policy Considerations Case Study

AllCare The FTC and Public Policy Considerations against Anti-Competitive Behavior

The objective of this work is to discuss the role of the FTC and the public policy considerations against anti-competitive behavior and explain why the conduct of the IPAMG was deemed as anti-competitive behavior by the Federal Trade Commission. Finally, this work will identify the penalty, discuss whether that penalty was fair, and state why it is held to be either fair or unfair.

AllCare is described as a "multi-specialty independent practice association consisting of multiple, independent medical practices" and is stated to be comprised of 500 physician members with 200 of those physicians devoted to primary care in the area of Modesto, California. AllCare is reported to contract with Preferred Provider Organizations (PPOs) to provide fee-for-service medical care. It was alleged in a complaint to the FTC that AllCare had "acted to restrain competition on fee-for-service contracts." (Federal Register / Vol. 74, No. 2 / Monday, January 5, 2009)

I. Role of the FTC and Public Policy Considerations

AllCare was accused to acting to "…restrain competition on fee-for-service contracts by, among other things, facilitating, entering into, and implementing agreements, express or implied, to fix the prices and other terms at which they would contract with payors to engage in collective negotiations over...

74, No. 2 / Monday, January 5, 2009) The Complaint stated that AllCare had:
(1) Unreasonably restrained pricing and other forms of competition among physicians who are members of AllCare;

(2) increased prices for physician services;

(3) Depriving payors, including insurers and employers, and individual consumers, of the benefits of competition among physicians; and (4) Deprived consumers of the benefits of competition among payors. (Federal Register / Vol. 74, No. 2 / Monday, January 5, 2009)

It was held that the "combination, conspiracy, acts and practices" described in the complaint "constitute unfair methods of competition in violation of Section 5 of the Federal Trade Commission Act, as amended 15 U.S.C. Section 45." (Federal Register / Vol. 74, No. 2 / Monday, January 5, 2009)

II. Explanation of the Conduct of the IPAMG

It is reported that the consent matter in this issue "settled alleged violations of federal law prohibiting deceptive acts of practices or unfair methods of competition." (Federal Register / Vol. 74, No. 2 / Monday, January 5, 2009) The IPAMG had interfered with competition through deceptive means. It is stated that AllCare had,…

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References

Federal Register (2009) / Vol. 74, No. 2 / Monday, January 5, 2009. Retrieved from: http://www.ftc.gov/os/fedreg/2009/january/090105independentpractice.pdf

United States of America Before the Federal Trade Commission, In the Matter of: Independent Physician Associates Medical Group, Inc. dba AllCare IPA, a California Corporation -- Complaint (2008) Retrieved from: http://www.ftc.gov/os/caselist/0610258/090203allcareipacmpt.pdf

United States of America Before the Federal Trade Commission, In the Matter of: Independent Physician Associates Medical Group, Inc. dba AllCare IPA, a California Corporation -- Decision and Order (2009) Retrieved from: http://www.ftc.gov/os/caselist/0610258/081224allcaredo.pdf
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In addition, within 30 days of the order's final date, notify with a copy of the order by first-class mail or electronic mail with appropriate return receipt/confirmation, every physician who participated in IPAMG since January 1, 2005, every physician who intends to become a member, every current IPAMG officer, director, manager and employee, and every payor with whom IPAMG has a contract. Furthermore, existing contracts may be terminated by

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