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Population Health Management

PHM-5 - Resetting Expectations: Key Antitrust Considerations for Provider Networks in the Biden Era of Enhanced Antitrust Enforcement

Wednesday, October 4, 2023
8:00 AM – 9:00 AM MT
Location: 405/406/407
Disclosure(s):
Mark E. Reagan, Attorney at Law: No financial relationships to disclose
Michelle A. Mantine, JD: No financial relationships to disclose
James J. Kovacs, JD: No financial relationships to disclose
This 60-minute program will explore the evolving landscape of federal antitrust enforcement, including the recent withdrawal of some of the enforcers’ longstanding guidance, and what it means for provider networks and other approaches to population health management. The program will focus on the opportunities for network development covering post-acute and long-term care services and the likely “re-set” of regulatory expectations regarding provider efforts to clinically or financially integrate.

Learning Objectives:

  • Relate the fundamental elements of federal antitrust law to antitrust oversight and enforcement of network providers.
  • Describe clinical and financial integration criteria and how federal antitrust agencies may view providers’ efforts to use these tools in network development.
  • Discuss best practices for clinically or financially integrated provider networks to achieve optimal clinical outcomes and efficiencies.