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Wednesday, September 27, 2023

DOJ withdraws three lengthy standing antitrust coverage statements, leaving well being care organizations in limbo


On February 3, 2023, the Antitrust Division of the U.S. Division of Justice (DOJ) withdrew three well being care coverage statements, which have supplied antitrust enforcement steering to numerous segments of the well being care business for the previous few a long time. Particularly, the DOJ withdrew the (1) Division of Justice and FTC Antitrust Enforcement Coverage Statements within the Well being Care Space (September 15, 1993), (2) Statements of Antitrust Enforcement Coverage in Well being Care (August 1, 1996), and (3) Assertion of Antitrust Enforcement Coverage Concerning Accountable Care Organizations Collaborating in Medicare Shared Financial savings Program (October 20, 2011).

The 1993 and 1996 statements supplied antitrust steering for merging well being care suppliers and hospitals in an effort to alleviate antitrust uncertainty within the business. These statements partially provided antitrust “security zones” and steering for sure well being care operations, together with 

  1. merging hospitals, 
  2. hospital joint ventures for top value care or excessive value tools,
  3. physicians’ provision of knowledge to purchasers of well being care companies,
  4. hospital participation in exchanges of value and value data,
  5. well being care suppliers’ joint buying preparations,
  6. doctor community joint ventures, and
  7. multi-provider networks.

Briefly, if a merger, three way partnership, or different exercise certified for a “security zone,” then the DOJ and FTC had been impossible to problem it, “absent extraordinary circumstances.” And for joint ventures, mergers, or different exercise exterior of a security zone, the statements supplied steps and components for extra evaluation. Likewise, the 2011 assertion supplied related security zone and non-qualifying steering for the formation and operation of Accountable Care Organizations underneath the Inexpensive Care Act. 

Merely put, the DOJ’s withdrawal terminates the “security zones” for qualifying exercise, with none substitute steering now, and even indicated for the longer term, leaving three way partnership operators and well being care suppliers in limbo. Previously “protected” mergers and joint ventures might now be topic to antitrust scrutiny. And with none formal steering to exchange the statements, it’s unclear if the statements’ non-qualifying steering nonetheless applies, because the DOJ might discover that the supplied steps of research are outdated.

Certainly, of their February 3 announcement, the DOJ acknowledged that the three statements are “overly permissive on sure topics, equivalent to data sharing, and not serve their meant functions of offering encompassing steering to the general public on related well being care competitors points in as we speak’s surroundings.” The DOJ reasoned that “[w]ithdrawal subsequently finest serves the curiosity of transparency with respect to the Antitrust Division’s enforcement coverage,” and by returning to an throughout the board case-by-case strategy, the DOJ believes it will likely be in a position to “higher consider mergers and conduct in well being care markets that will hurt competitors.”

In a contemporaneous February 2, 2023, speech, Deputy Principal Deputy Assistant Legal professional Common of the DOJ Antitrust Division, Doha Mekki, supplied some extra perception. She attributed the withdrawal of the well being care coverage statements to (1) an “developed” understanding of well being care economics, largely on account of the “knowledge intensive business that depends on the facility of machine studying, synthetic intelligence, and different superior instruments,” and (2) vertical integration, for instance “insurance coverage firms now personal suppliers, PBMs [pharmacy benefit managers], well being knowledge analytics firms, and acute care clinics.” Deputy AAG Mekki additionally confirmed that though “[t]he Division is endeavor a assessment of our coverage and steering paperwork,” DOJ has “no speedy plans to exchange” the withdrawn steering.  

As a result of DOJ has substituted outlined classes with ambiguity, well being care suppliers must be cautious as they proceed with sure actions, together with mergers, ongoing joint ventures, and knowledge sharing. Though the DOJ’s transient February 3 announcement was unclear as as to if it had singled out data sharing as a particular focus for its efforts, Deputy AAG Mekki’s February 2 speech positioned particular emphasis on the “trade of competitively-sensitive data.” 

She famous that “the construction of the business concerned,” was not restricted to concentrated markets (“having 5 or extra contributors … is not any assure that the trade is not going to hurt competitors”), and “the character of the knowledge exchanged” stays a priority, significantly with “forward-looking, competitively-sensitive data.” Though knowledge aggregation was as soon as useful in avoiding anticompetitive sharing, “[t]he security zones had been written at a time when data was shared in manila envelopes and thru fax machines,” whereas the fashionable surroundings shares, analyzes, and makes use of knowledge “in ways in which could be unrecognizable a long time in the past.” 

Consequently, these within the well being care business will wish to revisit their insurance policies, practices, and antitrust compliance actions to make sure that their operations wouldn’t offend latest antitrust choices or coverage indications, no matter an exercise’s prior “security” standing. And well being care suppliers ought to carry out an analogous evaluation for any future or pending actions, equivalent to mergers and joint ventures, significantly if the transacting events are extremely knowledge pushed (e.g., use pricing algorithms) or are vertically built-in. 

The withdrawal of the well being care coverage statements additionally might have implications past the well being care business, significantly as to the knowledge sharing steering and “protected harbor,” which has been utilized broadly to data sharing in different industries. For instance, the Antitrust Steerage for Human Useful resource Professionals, issued collectively by the DOJ and FTC in October 2016, particularly references the well being care coverage statements data trade steering as reference to “when written surveys of wages, salaries, or advantages are much less more likely to increase antitrust issues.” The DOJ has not withdrawn or commented additional on this coverage.

The Federal Commerce Fee has not but introduced an analogous withdrawal; nonetheless, given the FTC’s and DOJ’s earlier joint help of the three coverage statements, it might not be shocking if the FTC points a comparable assertion.

Ed Harvey and Nicole Williams and Tom Groeller are attorneys in Thompson Coburn’s Antitrust apply group. 

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