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On 3 February 2023 the Department of Justice (DOJ) announced that it is withdrawing from certain policy statements related to antitrust enforcement in health care. Specifically, DOJ is withdrawing “safe harbors” for health care provider mergers, joint ventures, and joint purchasing agreements, as well as guidance regarding health care information exchanges and accountable care organizations. With respect to DOJ’s guidance on information exchanges, while the policy statement at issue is focused on the health care industry, the decision to withdraw from this policy has impacts beyond health care, since antitrust practitioners have relied upon the guidance in other industries as well.
In a press release,1 DOJ called the three policy statements at issue2 “outdated,” stating that the decision to withdraw was warranted in part because “[o]ver the past three decades” since two of the three Policy Statements were released, the “health care landscape has changed significantly.” DOJ contends that the Policy Statements are “overly permissive” with respect to certain subjects such as information sharing, and that withdrawal is necessary to “serve[] the interest of transparency with respect to the Antitrust Division’s enforcement policy in health care markets.”
One of the policy statements from which DOJ announced it has withdrawn, “Statements of Antitrust Enforcement Policy in Health Care,” outlined that a “reasonable” exchange of information among competitors would exist in a “safety zone,” meaning it is highly unlikely the exchange raises substantial concerns of illegality, if:
In short, since the publication of this policy statement in 1996, DOJ generally considered information exchanges legal so long as they were anonymized (by a third party), the information was historical, and the information was aggregated. In withdrawing the policy statement governing information exchanges—and with no indication if or when the agency intends to replace it—there is currently no guidance from DOJ on what kind of information exchanges it would consider presumptively legal.
In a speech on 3 February at an antitrust conference in Miami, Florida,3 Principal Deputy Assistant Attorney General Doha Mekki emphasized that even exchanges of aggregated data can be anticompetitive, and the risk is not mitigated by there being many competitors involved in the exchange. As an example, Mekki pointed to the fact that DOJ has taken this approach in at least one recent consent decree,4 and is signaling the agency’s intent to apply this principle more broadly. How broadly remains an open question: Mekki said that the agency has no current plans to replace its policy on information exchanges, just that it was withdrawing from the current Policy. As a result, there is no guidance from DOJ on what kind of information exchanges would be considered presumptively legal.
While DOJ cannot unilaterally change the law as applied by the courts—and exchanges of aggregated data are not necessarily unlawful—the elimination of this safe harbor could meaningfully change the risk calculus for companies involved in the exchange of aggregated data. In addition, it will result in increased uncertainty for industries as to how to structure information exchanges without raising risk. The decision will affect all industries that utilize information-sharing exchanges, such as real estate, advertising, meatpacking, and transportation.
It is important to note that DOJ’s policy position cannot make unlawful compulsory disclosure of rate information, such as disclosures required under the transparency rules.
It is also important to note that this is only a policy decision on the part of an agency. DOJ does not write the law and it does not determine what is, or is not, legal. That is left to the courts. Ultimately, the body of case law on information exchanges is what controls and will be most relevant as antitrust practitioners continue to litigate matters involving these issues. The Policy Statements, however, were often viewed as informational, if not influential, by judges, and DOJ’s affirmative withdrawal may be something that a judge considers in his or her analysis of the legality of information exchanges.
The FTC and DOJ jointly issued the policy related to information exchanges in 1996 but it is not clear whether the FTC will also withdraw the guidance. It is not unprecedented for the agencies to unilaterally withdraw from jointly issued guidance. For example, in September 2021, the FTC voted to withdraw from the 2020 Vertical Merger Guidelines5 but DOJ kept the guidelines in place.
The withdrawal of this guidance is part of a broader sea change in antitrust enforcement in recent years. Several additional relevant examples include:
These developments have create heightened risk across industries. You should contact experienced antitrust counsel if you have any questions about how these changed policies, particularly the information exchange policies, may affect your business.
Authored by Justin Bernick and Liam Phibbs.