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Joint antitrust enforcement policy: a first step, but questions remain.

The Department of Justice and the Federal Trade Commission have jointly issued statements of antitrust enforcement policy" in six health care areas. In addition, the agencies have committed themselves to responding to any request for more specific guidance in the six areas within 90 days. Although the conduct in the request must be proposed, not actual, the new expedited review period is nevertheless a potentially attractive option not previously available.

Antitrust Laws↗

Legal issues.

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Antitrust Laws↗

Managed cooperation, not competition: a proposal for implementing national health reform.

National health reform should be implemented in a policy framework that encourages cooperation--not competition--to promote efficiency while extending universal coverage. "Managed cooperation" is defined here as a national health system built on collaborative efforts between purchasers, providers, consumers, and government through voluntary collective action, like the structural cooperation seen in the Japanese economy between government and the private sector. Six partnerships are encouraged: (1) government-industry, (2) purchaser-provider, (3) physician-hospital, (4) public-private data sharing, (5) consumer-provider, and (6) community health. Structural and legal barriers to cooperation, such as antitrust and malpractice reform, should be reduced or eliminated to encourage collaborative initiatives under national health reform.

Antitrust Laws↗