National Healthcare Antitrust Attorneys
In recent years the health care industry has seen an unprecedented level of consolidation among hospitals and insurance companies. Physicians and other providers often pay the price for this consolidation, as they are forced to accept lower reimbursement levels for performing the same amount of work. Indeed, the entire business model of healthcare seems to be “shift the burden to the doctors,” while enriching executives and shareholders of for-profit insurance companies at the expense of quality patient care.
One of the legal tools that healthcare providers have at their disposal to fight back is the antitrust laws. These laws are designed to protect the competitive marketplace from monopolistic practices that only serve to restrain trade. At the Law Offices of George M. Sanders, P.C., our skilled team of national healthcare antitrust attorneys help physicians like yourself litigate claims against parties that have abused their market power to the detriment of your practice and your patients.
How Do Antitrust Laws Apply to Health Care?
Congress and numerous states first passed antitrust laws in the 1800s to address the growing consolidation of major industries, notably oil production and the railroads. Over the years, antitrust law has evolved into a more comprehensive set of regulations focused on consumer protection. While the bulk of antitrust enforcement is handled by the government, private parties may also initiate litigation when their interests are directly affected.
At the Law Offices of George M. Sanders, P.C., our national healthcare antitrust practice focuses on:
- Sham peer review – One of the most common antitrust abuses in the health care industry occurs when hospitals and competing physicians manipulate the peer review process to punish a provider who is viewed as a competitive threat. Such retaliatory actions have nothing to do with patient care. They are, according to the antitrust laws, an illegal “group boycott.”
- Physician joint ventures – Many physicians opt to form integrated networks or less-formal joint ventures designed to improve patient care through collaboration. Unfortunately, these ventures are frequently subjected to antitrust attacks, often by regulators and insurance companies who fear raising reimbursement levels. We can help your physician network or joint venture fight for its rights in court.
- Physician competition – On the other side, we also assist physician-owned surgery and outpatient centers fight illegal anticompetitive tactics on the part of incumbent hospitals. For example, large hospitals may attempt to exploit their bargaining power by demanding long-term “exclusive” contracts with insurance companies. Such deals can run afoul of the antitrust laws as they serve no legitimate business purpose, but only serve to eliminate the threat of physician competition.
Speak With Our National Healthcare Antitrust Attorneys Today
As a doctor you want to focus on providing health care, not litigating in court. That is where we come in. The Law Offices of George M. Sanders, P.C., has more than two decades of experience when it comes to fighting–and winning–in court. Call us today at (312) 624-7642 to schedule a consultation so we can sit down and discuss your p