Last August, the Federal Trade Commission (FTC) and the Departmentof Justice liberalized their joint antitrust guidelines on healthcare.1 The agencies agreed to review proposals for physician-operatednetworks case by case on the basis of their actual likely effectson competition rather than rigid formulas. Doctors' groups hopethis relaxation of the guidelines will allow networks run byphysicians to compete more effectively with corporate healthmaintenance organizations (HMOs) and insurance companies. Suchnetworks could contract directly with employers or health plans,bypassing the clinical intrusions and financial costs imposedby commercial middlemen.
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