The Federal Trade Commission has expanded the type of physician network arrangements subject to case-by-case, "rule of reason" analysis under antitrust law. The new guidelines allow:
"Withholds" of physician reimbursement.
Financial incentives for physician groups to achieve cost or utilization targets.
Global rates for major procedures.
Risk sharing for a percentage of enrollees' premiums.
Non-risk-sharing networks that integrate clinically to improve quality or reduce utilization.
Source: Federal Trade Commission