« Travel Insurance Buying Habits | Main | Two Large Insurers Help Schools And Youth »

Sep21
Utah Optometrists Not Allowed Into Health Insurance Plan
In a ruling in Salt Lake City on the 10th U.S. Circuit Court of Appeals a 3-judge panel decided “Even if one group of health care providers persuades a health plan to exclude another group of providers from its network, that is not necessarily enough to constitute a violation of federal antitrust laws.”  Nationalunderwriter.com reported on this case.

Optometrists are the plaintiffs in this case and have been attempting to “persuade Intermountain Health Care Inc., Salt Lake City, Utah, to let them participate along with ophthalmologists on its panel of eye care providers, just as its competitors have.”  The optometrists claim they can save Intermountain more than $400,000 per year by adding them to its provider network.

Chief Circuit Judge Deanell Reece Tacha wrote in an opinion for the court:

The Utah ophthalmologists went to great lengths to keep optometrists out of the Intermountain Health provider network.  But the ophthalmologists did not threaten a mass resignation, and simply lobbying Intermountain Health as a group did not amount to forming anything that federal case law would treat as a conspiracy. 

0 Comments/Trackbacks




submit a trackback

TrackBack URL for this entry:

post a comment

Name, Email Address, and URL are not required fields.





Comment Preview

« Travel Insurance Buying Habits | Main | Two Large Insurers Help Schools And Youth »

Advertise

2008

sponsored ads



topics