Public Workshop: Examining Health Care Competition

Workshop Information

On February 24–25, 2015, the Antitrust Division of the Department of Justice (DOJ) and the Federal Trade Commission (FTC) held the second in a series of public workshops, “Examining Health Care Competition,” to study developments related to health care provider organization and payment models that may affect competition in the provision of health care services.

The FTC held the first workshop in this series on March 20–21, 2014. Find information about that workshop on the FTC’s website.

Specific topics for discussion during this second workshop included:

  • Early observations of accountable care organizations
  • Alternatives to traditional fee-for-service payment models
  • Trends in provider consolidation
  • Trends in provider network and benefit design strategies, as well as contracting practices and regulatory activity that may enhance or undermine these strategies
  • Early observations of health insurance exchanges

This page provides information on:

For more information, please send e-mail to examininghealthcareworkshop@ftc.gov or contact:

Patrick Kuhlmann
Attorney
(202-305-4639)

Matthew Mandelberg
Attorney
(202-598-2413)

 

They can be reached by mail at:
Legal Policy Section
Antitrust Division
U.S. Department of Justice
450 Fifth Street NW, Suite 11700
Washington, DC 20530

February 18, 2015

Press release: Department of Justice and Federal Trade Commission Announce Agenda for Public Workshop on Examining U.S. Health Care Competition

January 23, 2015

Press release: Department of Justice and Federal Trade Commission to Hold Public Workshop on Examining U.S. Health Care Competition


Dates and Location

Dates: Tuesday, February 24, and
Wednesday, February 25, 2015
Location: Federal Trade Commission
(Ground Floor) Conference Center
Constitution Center
400 Seventh Street SW
Washington, DC 20024

Workshop Agenda

Tuesday, February 24, 2015

 

Find videos and transcripts of the workshop on the FTC’s website. Look for Video under Event Details.

9:00 a.m.

Registration and Continental Breakfast

10:00 a.m.

Welcome Remarks and Announcements

Tara Isa Koslov, Deputy Director, Office of Policy Planning, Federal Trade Commission

10:10 a.m.

Opening Remarks

Edith Ramirez, Chairwoman, Federal Trade Commission

10:30 a.m.

Framing Presentation

Ezekiel J. Emanuel, MD, PhD, Chair, Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania

11:00 a.m.–
11:10 a.m.

Break

11:10 a.m.–
1:00 p.m.

Provider Network Design, Contracting Practices, and Regulatory Activity

Moderators

Helen C. Knudsen, PhD, Economist, U.S. Department of Justice, Antitrust Division, Economic Analysis Group

Stephanie A. Wilkinson, Attorney Advisor, FTC, Office of Policy Planning

Panelists

Paul Ginsburg, PhD, Norman Topping Chair in Medicine and Public Policy, University of Southern California

Kim Holland, Vice President, State Affairs, Blue Cross Blue Shield Association

James Landman, JD, PhD, Director, Healthcare Finance Policy, Perspectives and Analysis, Healthcare Financial Management Association

Lynn Quincy, Director of the Health Value Resource Hub, Consumers Union

Fiona M. Scott Morton, PhD, Theodore Nierenberg Professor of Economics, Yale University School of Management

Anna D. Sinaiko, PhD, MPP, Research Scientist, Department of Health Policy and Management, Harvard T.H. Chan School of Public Health

1:00 p.m.–
2:30 p.m.

Lunch Break (on your own)

2:30 p.m.–
4:30 p.m.

Early Observations Regarding Health Insurance Exchanges

Moderators

Peter J. Mucchetti, Chief, DOJ, Antitrust Division, Litigation I Section

Natalie A. Rosenfelt, Attorney, DOJ, Antitrust Division, Litigation I Section

Panelists

Cynthia Cox, MPH, Senior Policy Analyst, Program for the Study of Health Reform and Private Insurance, Kaiser Family Foundation

Daniel T. Durham, Executive Vice President for Strategic Initiatives, America’s Health Insurance Plans

Keith M. Marzilli Ericson, PhD, Assistant Professor of Markets, Public Policy, and Law, Boston University School of Management

Pinar Karaca-Mandic, PhD, Associate Professor, Health Policy and Management, University of Minnesota School of Public Health

Kevin Lewis, MPP, CEO, Maine Community Health Options

Richard M. Scheffler, PhD, Distinguished Professor of Health Economics and Public Policy, School of Public Health, University of California, Berkeley

4:30 p.m.–
5:30 p.m.

Networking Reception

Wednesday, February 25, 2015

8:30 a.m.

Welcome Remarks and Announcements

Caroline N. Holland, Chief Counsel for Competition and Intergovernmental Relations, U.S. Department of Justice, Antitrust Division

8:40 a.m.

Opening Remarks

William J. Baer, Assistant Attorney General, U.S. Department of Justice, Antitrust Division

9:00 a.m.–
10:45 a.m.

Early Observations Regarding Accountable Care Organizations

Moderators

Ellen Connelly, Attorney, FTC, Bureau of Competition Health Care Division

Matthew C. Mandelberg, Attorney, DOJ, Antitrust Division, Legal Policy Section

Panelists

Alison Fleury, Senior Vice President of Business Development, Sharp HealthCare

Kristen Miranda, Vice President, Strategic Partnerships and Innovation, Blue Shield of California

David B. Muhlestein, PhD, JD, Senior Director of Research and Development, Leavitt Partners, LLC

Hoangmai Pham, Director of Seamless Care Models Group, Center for Medicare and Medicaid Innovation

Terri L. Postma, MD, Medical Officer and Advisor, Center for Medicare at the Centers for Medicare & Medicaid Services

Simeon A. Schwartz, MD, Founding President and CEO, WESTMED Medical Group

Chapin White, PhD, Senior Policy Researcher, RAND Corporation

10:45 a.m.–
11:00 a.m.

Break

11:00 a.m.–
1:00 p.m.

Alternatives to Traditional Fee-for-Service Payment Models

Moderators

Karen A. Goldman, PhD, Attorney Advisor, FTC, Office of Policy Planning

John P. Wiegand, Attorney, FTC, Western Regional Office, San Francisco

Panelists

Michael E. Chernew, PhD, Leonard D. Schaeffer Professor of Health Care Policy, Harvard Medical School

Suzanne Delbanco, PhD, MPH, Executive Director, Catalyst for Payment Reform

R. Adams Dudley, MD, MBA, Director, Center for Healthcare Value, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco

Mark W. Friedberg, MD, MPP, Senior Natural Scientist, RAND Corporation

Bruce E. Landon, MD, MBA, MSc, Professor of Health Care Policy and Medicine, Harvard Medical School

Lisa McDonnel, Senior Vice President, Network Strategy and Innovation, UnitedHealthcare Networks

Dana Gelb Safran, ScD, Senior Vice President, Performance Measurement and Improvement, Blue Cross Blue Shield of Massachusetts

1:00 p.m.–
2:00 p.m.

Lunch Break (on your own)

2:00 p.m.–
3:50 p.m.

Trends in Provider Consolidation

Moderators

Patrick M. Kuhlmann, Attorney, DOJ, Antitrust Division, Legal Policy Section

Danica Noble, Attorney, FTC, Northwest Regional Office, Seattle

Panelists

Lawton Robert Burns, PhD, MBA, Director, Wharton Center for Health Management and Economics, University of Pennsylvania

Leemore Dafny, PhD, Director of Health Enterprise Management, Kellogg School of Management, Northwestern University

Martin Gaynor, PhD, E.J. Barone Professor of Economics and Health Policy, Carnegie Mellon University

Kenneth Kizer, MD, MPH, Director, Institute for Population Health Improvement, University of California Davis Health System

James Landman, JD, PhD, Director, Healthcare Finance Policy, Perspectives and Analysis, Healthcare Financial Management Association

Joe Miller, General Counsel, America’s Health Insurance Plans

3:50 p.m.–
4:00 p.m.

Break

4:00 p.m.–
5:30 p.m.

Summation Roundtable: Antitrust Perspectives on Evolving Provider and Payment Models

Moderators

Tara Isa Koslov, Deputy Director, FTC, Office of Policy Planning

Leslie C. Overton, Deputy Assistant Attorney General for Civil Enforcement, DOJ, Antitrust Division

Panelists

Mark J. Botti, JD, Partner, Squire Patton Boggs LLP

Martin Gaynor, PhD, E.J. Barone Professor of Economics and Public Policy, Carnegie Mellon University

Thomas L. Greaney, JD, Chester A. Myers Professor of Law and Co-Director of the Center for Health Law Studies, Saint Louis University School of Law

Dionne Lomax, JD, Partner, Mintz Levin Cohn Ferris Glovsky and Popeo, PC

Mark B. McClellan, MD, PhD, Senior Fellow in Economic Studies & Director of The Health Care Innovation and Value Initiative, The Brookings Institution

Monica Noether, PhD, MBA, Vice President, Charles River Associates

5:30 p.m.

Closing Remarks

Marina Lao, Director, Office of Policy Planning, Federal Trade Commission

Robert Potter, Chief, Legal Policy Section, U.S. Department of Justice, Antitrust Division

The views expressed at the workshop will not necessarily reflect those of the U.S. Department of Justice or the Federal Trade Commission.


Public Comments

DOJ and the FTC welcomed written comments from the public. The deadline for submitting comments to be considered during the workshop was February 16, 2015. The final deadline for comments was April 30, 2015.

HCW-00002 Publi, Jean

HCW-00003 Fialkowski, Kelly

HCW-00004 American College of Nurse-Midwives (Bushman, Jesse)

HCW-00005 American Nurses Association (Hatmaker, Debbie)

HCW-00006 American Association of Nurse Anesthetists (Pearce, Sharon)

HCW-00007 American Association of Nurse Anesthetists (Pearce, Sharon)

HCW-00008 American Association of Nurse Anesthetists (Pearce, Sharon)

HCW-00009 American Academy of Dermatology Association (Coldiron, Brett, MD)

HCW-00010 Reed Smith LLP (Daubert, Gail)

HCW-00011 National Association of Chain Drug Stores (NACDS) (Jaeger, Kathleen)

HCW-00012 American Association of Healthcare Administrative Management (Di'Tomaso, Vicki)

HCW-00014 National Association of Chain Drug Stores

HCW-00015 Mountain Health Clinic, LLC (Setser, Kimberly)

HCW-00016 Hometown Healthcare (Reynolds, Karen)

HCW-00017 Moccasin Bend Mental Health Institute (Milen, Karen)

HCW-00018 Johnson

HCW-00022 Speight Family Medical, LLC (Speight, Deanna)

HCW-00023 Riverside Midwifery, LLC (Jenkins, Nannette)

HCW-00024 Robert C Byrd Clinic (Mann, Cindy)

HCW-00025 Coplon, Debra

HCW-00026 Phillips-Freeman, Melinda

HCW-00027 University of South Alabama School of Nursing (Landreth, Barbara)

HCW-00028 TNA (Wright, Mitzi)

HCW-00029 Oasis Counseling and Psychiatry (Wilson, Jessica)

HCW-00030 Oklahoma City University - Kramer School of Nursing (Kramer, Stephanie)

HCW-00031 Couture Health Care (Goins, Lisa PhD, APRN, FNP-BC, RMT)

HCW-00032 Internal Medicine (Thomas, Kimberly)

HCW-00033 Damato, Michael

HCW-00035 Streiff, Marcia

HCW-00036 Bradshaw-Small, Lisa

HCW-00037 The Community Clinic of High Point (Ferree, Bette)

HCW-00038 Wichita State University (Morrison, Barbara)

HCW-00039 First Assisting Solutions (Jenkins, Barbara)

HCW-00040 Alexander, Deanah, RN, CNS, MSN

HCW-00041 Genadri, Melissa

HCW-00042 American College of Emergency Physicians (ACEP) (Gerardi, Michael)

HCW-00044 Bennington, Juliana

HCW-00045 Cloney, Michael

HCW-00046 Kuzmak, Gregory

HCW-00047 Hong, Hannah

HCW-00048 Yoo, Katelyn

HCW-00049 McCoy, Heather

HCW-00050 MacKinnon Anesthesia PLLC (MacKinnon, Mike)

HCW-00052 University of Virginia Health System (Rheuban, Karen)

HCW-00053 Sokoloff, Catherine

HCW-00054 Association of American Medical Colleges

HCW-00055 Advocate Health Care (Sacks, Lee)

HCW-00056 Conrad-Rendon, Jennifer

HCW-00057 Ormond, Dallen

HCW-00058 American Academy of Dermatology Association (Lebwohl, Mark)

HCW-00059 Independent Specialty Pharmacy Coalition (Balto, David)

HCW-00060 American Medical Association (Madara, James)

HCW-00061 American Association for Marriage and Family Therapy (Todd, Tracy)

HCW-00062 American Telemedicine Association (Linkous, Jonathan)

HCW-00063 CarsonCompany, LLC (Carson-Smith, Winifred)

HCW-00064 America's Health Insurance Plans (AHIP) (Spector, Michael)

HCW-00065 Kaiser Foundation Health Plan Inc. (Barrueta, Anthony)

HCW-00066 athenahealth (Haley, Dan)

HCW-00067 Reiners, Sandy


FTC website: Federal Trade Commission and Department of Justice 2015 Workshop on Examining Health Care Competition

Updated December 5, 2016

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