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Correspondence
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Volume 337:55-56 July 3, 1997 Number 1
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Physician-Operated Networks and Antitrust Regulations

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 by Kuttner, R.
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To the Editor: Robert Kuttner, in his Heath Policy Report on physician-operated networks and antitrust guidelines (Jan. 30 issue),1 fails to distinguish between physician-owned health maintenance organizations (HMOs) and risk-sharing organizations of physicians (physician-operated networks or independent practice associations). Physician-owned HMOs are not, and have never been, the target of antitrust scrutiny, whereas physician-operated networks have been subjected to a frequently changing level of scrutiny. Thus, physician-operated networks, not HMOs, benefit from the changes in guidelines discussed by the author. By providing effective resource management and rewards for high-quality health care and by sharing risk among physicians, physician-operated networks can . . . [Full Text of this Article]

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