E/M Coding Alert - 2005 Issue 21
FTC Shoots The 'Messenger Model' In NM Antitrust Probe
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Article Overview
This article explains an FTC antitrust settlement involving a physician independent practice association in New Mexico and discusses alleged contracting and communication practices under the messenger model. It is relevant to healthcare administrators, physician groups, compliance professionals, and legal/coding-adjacent readers monitoring healthcare market regulation and physician contracting arrangements. The article focuses on antitrust enforcement, collective negotiation concerns, and the settlement’s broad restrictions and exceptions.
Why This Topic Matters
The topic matters because antitrust enforcement can affect how physician organizations negotiate with payors and structure collaborative arrangements. Readers involved in provider contracting, compliance, or healthcare legal oversight may need to understand the type of conduct discussed and the limits referenced by the FTC.
What You Will Learn
- How an FTC antitrust settlement can affect a physician independent practice association
- What the messenger model is in general terms
- What categories of contracting and communication conduct were at issue
- What broad future restrictions and exceptions were described in the consent order
Who Should Read This
- Healthcare compliance professionals
- Healthcare attorneys
- Physician practice administrators
- Independent practice associations
- Managed care contracting teams
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