Clinical Integration and Antitrust

One of the basic goals of health care reform is to lower costs while increasing quality. One way to achieve this goal is by shifting the dominant payment methodology from volume-based to value-based. In changing payment models from the volume, fee-for-service approach to value-based models, such as bundled payments, capitated payments, and shared savings arrangements, the Affordable Care Act encourages hospitals and physicians to form clinically integrated organizations that will better manage the continuum of care for patients. Approaches to clinical integration should be carefully considered to ensure not only their effectiveness but also compliance with applicable federal and state antitrust laws. Hall Render's broad experience with clinical integration and related antitrust matters will assist you in properly structuring your clinically integrated organization.

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