In re Central Massachusetts Health Care, Inc., 1993-1 Trade Cas. (CCH) 70,186 (Mass. Super. Ct. 1993)

Settlement requiring provider network to include optometrists.

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Washington v. Wenatchee Valley Clinic, 1988-1 Trade Cas. (CCH) 68,118 (E.D. Wash. 1988)

State sought damages and injunctive relief, alleging that Defendant health care providers conspired to fix the price for the delivery or sale of emergency medical services or other health care services. Further, the Plaintiff State alleged that Defendants allocated the markets for the sale of ambulatory surgery facility services, radiation facility services or other health care services.

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Minnesota v. Mid-Minnesota Associated Physicians, 1991-1 Trade Cas. (CCH) 69,531 (Minn. Dist. Ct. 1991)

State sought damages and injunctive relief, alleging that Defendant, Mid-Minnesota Associated Physicians, negotiated contracts on behalf of their physician members having the effect of collectively refusing to deal with third-party payors unless the payors formed an integrated joint venture.

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Maine v. Alliance for Healthcare, Inc., 1991-1 Trade Cas. (CCH) 69,339 (Me. Super. Ct. 1991)

State sought an injunction, alleging that Defendant, Alliance for Healthcare, Inc. conspired to interfere with free competition by entering into agreements with Alliance members to deal with third party payors on collectively determined terms.

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Minnesota v. Southern Minn. Health Alliance, C0-90-766 (Minn. Dist. Ct. Blue Earth County)

The State alleged three corporations, Southern Minnesota Health Alliance, Southern Minnesota Physicians, P.A., and Hospitals of Southern Minnesota, Inc. were illegally formed by most of the doctors and all of the hospitals in the Mankato area, including St. Peter and St. James, to maintain their control of the health care market.

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Colorado ex rel. Weiser v. Unitedhealth Group;

UnitedHealth Group sought to acquire the physician practice group of DaVita Inc., which owned two large physician’s’groups in Colorado Springs. UnitedHealthcare is the largest provider of Medicare Advantage plans in the region. The FTC investigated the merger but did not take any action with respect to Colorado. The state filed a complaint in state court aleging that the transaction would give the combined parties the ability to raise their price to other insurance companies that serve Medicare Advantage patients in the Colorado Springs area. The state alleged that the merger would resultin “reduced competition, higher health care costs, reduced benefits and fewer choices for seniors.” The state reached a consent judgment with the parties, under which UnitedHealthcare will lift its exclusive contract with Centura Health for at least 3.5 years, which will expand the network of healthcare providers available to seniors in Medicare Advantage plans offered by other providers. In addition, DaVita Medical Group’s agreement with Humana—UnitedHealthcare’s main competitor in Colorado Springs—will be extended without change through at least the end of 2020 .

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