D09349 - Non·party Unitedhealth Group Incorporated's ...€¦ · IN CA MERA TREATVIE:'IT OF...
Transcript of D09349 - Non·party Unitedhealth Group Incorporated's ...€¦ · IN CA MERA TREATVIE:'IT OF...
PUBLIC VERSJOl
IJJliITIW STATES OF AIlfFRICA IIEmiddotFORE THE FEDERAL TRADE COMMISSIO
In lhe Matter of
OSF Healthcarc System a corporation and
Rockford Health Syslcm a corpol1ltion
) ) ) ) ) ) ) )
Docket ~o 9349 PUllLIC
NONmiddotPARTY t NITEIgtHEALTH GROUP INCORPORATRJ) S MOTION FOR IN CA MERA TREATVIEIT OF 11WPOSED EVIDENCE
UnHedHcalth (J roup incorporated (United) which is not a party to the abovc-captioned
Datter respectfully reques t tholt this court grant in Ctlmera treatment lor se~ral documcnts and
ccrrain dcposition testimony thal Complaint Counsel and Respondent Coumd hat~ delignatcd
te)t po~slblc introduction into evidence dwing lh~ administrative tri al in this matter By lellers
dated Murch 13 2() 12 J Complaint Counsel and Respondenls C(Jullsel noti fled Cnitcd that they
intcnd to introduce into evidence (Crlain documents produced by United in respomie ((1 a Civil
Investigation Demand and Subpoena Duces Tecum und (middoterllttin deposition tcstimony of Michelle
Iobe (Regional ViccmiddotPresident fbr Network ilanagcment for UnitedHealtharc of I Ilinois Inc)
or the numen)Us doemnents and deposition testimony identified by tile parties Unik Ll se~ks in
camera treutment lilr only a limited number of documen ts and deposition testimony
Specifically United r~luest s in poundamera rrcabnent for the fullowing dOC-llmcnts and
deposition tcstimony grouped into lhr~middote categories _ (1) membershi pproduct1pmprictary
Copies of lht IcUcr~ Irorn Complaint Counse l nnd Rtspondtn( Counsel arc attached here1o as rx hi hit~ A and 6 respectively
03 20 201203 20 2012
PUBLI C VERSION
inf lnnalion (2) pricingifinanciai infomlllion and (3) oontraclSiconlJaCll1lgotiutionslcontracti ng
Chart A - Mt mbershlp Product nd Prnprietal) (uformon
United enrollmen t I for members in Boone OIlI ~ unl1 Wii
cuMom~T~ information for Booe Oglll alld Winnebago bull
365-1 4
C hnt R - Iniled tidDt lDd FiDlIntilllnfrmlltlnn
-I reimbursement as a Ii)T Rockford
bull I
Ibr Rockford
I I I Swedish American J 19Spitals
bull Given th e_confidemi~J nalllfll uf lit JOCllllletl tS ~nd deposil ions timon) ~I iloSlII Unilcd lias 001 DttDChed rop f IlleSt OOoument 10 th is motion InskJ U nited ~M ~u~mitted Ddiso which conlins cupics of these documents nnd ltkpo ilion testimony for in ~maa vicw
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PUBUC YERSION
------ _ shyUniteds 2006-2007 internal plidng information (allowed reimbursement as a
I FTC_OSi-[nitcd-01156
penoentage or gru~s ~hrges) for Sw~-dish
American IIospitaL HC OSF-tnited-O 1157 Uniteds chargemaster audit repulis for -
Rockford Memorial Hospital and Swedish bull American Hospital - _ shyUnited s internal Network Pricing Trend Calculator for Swedish American Hospital
jiIC OS-United-Ol25 5
--__shy --- --- - Uniteds internal Pricing Scenario Model for Swedish American Hospital
FrC OSF-United-01256
-- - shyUniteds internal Hos ital Prici ModelsFTC OSF-Uniled-01258-1264 01343- 01396--- --- shyUniteds imernal gtIetwork Pricing Trend CacnlalOr for Rockford lcmoriaillospitai
FTC OSF-Uniled-039 I 8-03940 Unitcds Reimbursement Analysis dated
FTC OSf-Unikd-OI340
Scptcmber 2008 relating to Swedish Americllll Hos~ital
-- - - -- - ---__ -- ------ - ----shyFTC OSF-)nil~d-179(9-1 7917 Uniteds inlernlll COR Analysis lilT Rockford -
Memorial Ilo~Eital dated March 2010 - -- shyFTC nSF Unicd-21778-21786 Uniteds internal COB Analysis for Swedi~h -
American Hospital dated December 2010 - -- ---- ----shyFTC nSF-United-217R7 Unircd s internal hospital financial analysis for -
Swedish American Hospital- -_ - - ----- - - - - --- shybull 11 Lobe Transenpt Februarmiddot 24 2012 18 14-198 24 16-23 265-11 26 17-2714
13023-31 16 3212-368 4016--41 24 505shy5511 55 17-579 634-674 67 14-697 781-79 12 9522-97 15 9725-99 I 9920 shy10015 _-- ----------- shy
Chart C Contracts Contraf1 Negotiations and Contrading Strategy
HC OSF-United-03942--D3944 Contract appendix middot Illinois RegulatDY Reo lljrements Appendix
FlC OSI-United-03945-03953 All Paycr Appendix for Swedish Americfll Hospital
FIC OSF_Uci~d-63954-b3962 Options PPO Payer Appendix for Swedi~h American Hospital _____ ___ _shy
FTC OSF-Unied-03963 Medicare Select Appendix for Swedi~h
CCcc-----+Amif~C~CIClospill------ --- - -FTC nSF-United-15674-15677 E-Mail string dlll~d Augut 24 2())9
regarding contmct negotialiDns betieen United and Swedish American Hospital
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PUBLIC VERSION
~~~~~---~~- ~- - c=c=ltC~=oc===------FTC OSF-Unitcd-16732 JnkrnalUnitcd c-mail communieatio1S regarding ~llntract nltlgotiation between United
ccc-oc----- shy and sect_vv~di~h__American Hospital FTC OS F-l1nited-18032-UW35 E-lvfail string dated April 12 2010 regarding
contracl negllliltltilln betweon United and
___ __ ~==~_____IiS- dihiIlI~~ltll_Hc~oOSpi~i==zcc---CfTe_C70~SFCi-United-19147-19148 Intern~ l Uni ted e-mltlil communication
regarding C(lntract negoliatiom between United and Swedish American IIospital---- __ - ____
~~i ~~ ~ F rC-UHC-00Q003-000014 UnitcdHcalthearc All P~yer Appendix 1010 1()4-930105
--crMM~- UnitedHcalthcare All Puyer Appemlix 1010105-930106
FTC-UHC-00Q027-000038
I FTC-UHC-OOQO I5-000026
UnitcdIIe~lthcare All Pllyn Appendix 10101(6-9i30107
I-TC-UHC-OOOO39-000058 iacility Participation Agreement ktweell UnitcdHcalthcare Insnrance Company und Rockford Memorial Hospital dated October I
-_+2~OO4~====~=====~_Hospital Participation Agreement between IlnitedHcalthcarc of Illinois Inc and Swedish Americm Hospital dated Januarv 12002
FTC UHC-()()0702-000713
r-rC-UHc-000059-000080
Contract Pro sal F rc- u HC-000714-000723 Physician Agftemem between
UnitcdHcalthearc of Illinois Inc and SlarrC(lTIl dated Allllllt 12002- -~-+~--~----
1 Lok Investigational Hearing September 272011 -2310-13 356-15 4020-41 8 429-44 18 4825-499 5623-57 12 58H-15 608-6120 626514 694-7025 73_2-83~-j__________ ~_
M Loblt Transcript January 10 2012 J819 197 454-14 63 19-66 17 67 19-748 7414shy763 767-8214 878-8813 8818-8923 102 5-14 1033-1055 10512-10614 109 1middot 111 5 111 23-1128 113 19-1206 12619shy13020 13514middot24 J384-ll 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 1732J-J748 1751-19 179 1-6 183 15-1872 1881~O~cl89~2clt+___~ ____ ~ ~------1 MLobeTrumcripLFehruary242012 145- I
7 19 15-223 36 9-376 41 25-42 9 43 16shy44 10 473-22 60 I0-62 I0 70 5-75 17 873shy
13 100j~1023 ~==~~=~____ i FTCmiddotROPF-005648 005656 I- rc OSFshy I Un~ign~d Draft Declaration of vIichelle Lobe Uniled-02968-02977 1~_9-2_9 _________~1
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PUBLIC VERSIO~
All o f thr foregoing docwncnts and dopohion testi mony were designukd by United as
confidential pur-uanI to tho rrotcctivc Order Governing DiSlQwry Matcri31 dIIted NovembcT
18 201 I cntCTOO in this marter 111~ in limnalion contained in these dotumenls is tompditively
sensitive lind is hehl in strict confidence by United rublilt discloiurc of these documents is
likc ly to caus~ direct serious harm to tnitcds ~ompetitive pltJ~i()n Theroforo pursuant to 16
CFR ~ l 4Sb) United respectfully movcs for in ltQmera treatment r lhe rorcgoing documents
uml d eposition testimony
I U~TEDS CONFIDFNTIAL DOCUMENTS WARRANT IN CAMERA TKpoundATMENT lNDER TifF FElgtpoundK4L TKADECO1MISSIONS RtI FAi OF PRACTICE
Tho d(lcumenl~ dcltcribcd in this motion amwl in CllmaD 1featmcnl as p ro~ided by 16
ClmiddotR sect 345(b) The code section provides for In camera treallll~nl oj certain hj~incs -nlatcd
information Rclaling to business i~los tndcr 16 CF R 345(b) request for in carnerll
trelllm~n l will be grllnted where publie disclosure o f the dltxum~l1t ill questi ml wit 1LSUlt in ltI
clearl) defined serious iujury 10 the __ cOlJlOration requesting in caneTa treltlllCnl Id ThaI
~hwinll ean be made by establishing that Ih~ documCJ11 in qlJCSion is ufficiellll) slt~rc1 and
sunidomly matCTia l 10 the applicnnlS busiTKss thai disclosure Quld result in serious
compclitin injllI) 111 rt Oma Luw Corp 1999 FTC LEXIS 255 - 6 (])e 23 1999)
(quOlng (lenuill Foods Corp 95 FTC 352 3SS (19110)) In this context courts hllYe Ienerally
attempted to pro~ l ~()nldcntial buslnes9 infonllulion Imm unncre~gtIIry airing Hl Hood amp
S()tff hw 58 FTC 1184 I I 8S (1961)
Six fltCtori arc cighed in dctl111 inilli hether the documents in 1l11~ion arc Idlicienlly
sensitivc and material WI discllgtSure w(uld result iu serious compelitive inj ury
(I) the extenl to whi~h the infonnation is known outilide of the IIpplielUlt s business (2) the extent to which the infotmmion is known by employe~ lind 0Ihlt-~ involved in the ~IIiC 8ntS
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PUBLIC VERSION
bilsines~ (3) the extent ofmeasur~s tahn by the applicant to guard the secrecy of lllt ill formation (4) the value of the information to the applicant and its competilor~ (5) thc amount of effOlt or money expended by the applicant in developing thc information and (6) the ea~e or difficulty with which IlIt information could be properly acqllir~d or duplicatcd by others
Dura Lube 1999 FTC LEXIS 255 at 6-7 (quoling RrislOl-Alyermiddot Cn Xl r Ic 455 456
(1977raquo
A IJnited Ha~ Preserved the Cunfidcntilllit)middot of the Documents and Information in Question
United has lahn ~lb~tantial measures to guard he infonnation contained in the
documents id~ntiied lIbovc by limiting dissemination of such information and taking reasonable
steps to protect its confidentiality Lobe Declaration 23 Such information is only di sclosed to
plIrti~ular lnited employee~ 1d Thc information i not known outside or United except to the
extem necessary to engage in cltJntnCt negotiations and it would be extremely dil1icult ror
Uniteds competitors (eli Aetna Blue CrossiBlu~ Shidd Cigna etc) thosc hcalthcare
providers in whi~h United negotiates contracts with (eg Rockford Memmlal OSF Swedi~h
Amcrican etc) and other outside porsons 10 acce~ or duplicate the information contained in the
documents lind k~timony identified in Charts A Band C Id Thes~ ~mJrt~ demon mate that
United has gone through great kngths to preserve the confidentiality of his infomllition and such
information should not be disdllgttd plblic-llly especially where United is nol a plIliy to this
action
B Disclsure of the Information Contained in the DOCUl)1cnt~ III Question Wuuld Result in Seriolls Competitive Injurv tu United
As set forlh above the nCllments for which United seeks in camera proteclion urI
grouped into three clllegllli~~ (I) membershipproductproprietary information (2)
Th Dtclaration of Michelle M 1Jgte in Support of NonmiddotParty UnitedHeahhGroup incmpuralds Motion for Tn Camera Treatment [)f lropalted Evidence i all~hud hurdo as Exhibit C
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
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PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
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PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLI C VERSION
inf lnnalion (2) pricingifinanciai infomlllion and (3) oontraclSiconlJaCll1lgotiutionslcontracti ng
Chart A - Mt mbershlp Product nd Prnprietal) (uformon
United enrollmen t I for members in Boone OIlI ~ unl1 Wii
cuMom~T~ information for Booe Oglll alld Winnebago bull
365-1 4
C hnt R - Iniled tidDt lDd FiDlIntilllnfrmlltlnn
-I reimbursement as a Ii)T Rockford
bull I
Ibr Rockford
I I I Swedish American J 19Spitals
bull Given th e_confidemi~J nalllfll uf lit JOCllllletl tS ~nd deposil ions timon) ~I iloSlII Unilcd lias 001 DttDChed rop f IlleSt OOoument 10 th is motion InskJ U nited ~M ~u~mitted Ddiso which conlins cupics of these documents nnd ltkpo ilion testimony for in ~maa vicw
2
-------
- -
- -
PUBUC YERSION
------ _ shyUniteds 2006-2007 internal plidng information (allowed reimbursement as a
I FTC_OSi-[nitcd-01156
penoentage or gru~s ~hrges) for Sw~-dish
American IIospitaL HC OSF-tnited-O 1157 Uniteds chargemaster audit repulis for -
Rockford Memorial Hospital and Swedish bull American Hospital - _ shyUnited s internal Network Pricing Trend Calculator for Swedish American Hospital
jiIC OS-United-Ol25 5
--__shy --- --- - Uniteds internal Pricing Scenario Model for Swedish American Hospital
FrC OSF-United-01256
-- - shyUniteds internal Hos ital Prici ModelsFTC OSF-Uniled-01258-1264 01343- 01396--- --- shyUniteds imernal gtIetwork Pricing Trend CacnlalOr for Rockford lcmoriaillospitai
FTC OSF-Uniled-039 I 8-03940 Unitcds Reimbursement Analysis dated
FTC OSf-Unikd-OI340
Scptcmber 2008 relating to Swedish Americllll Hos~ital
-- - - -- - ---__ -- ------ - ----shyFTC OSF-)nil~d-179(9-1 7917 Uniteds inlernlll COR Analysis lilT Rockford -
Memorial Ilo~Eital dated March 2010 - -- shyFTC nSF Unicd-21778-21786 Uniteds internal COB Analysis for Swedi~h -
American Hospital dated December 2010 - -- ---- ----shyFTC nSF-United-217R7 Unircd s internal hospital financial analysis for -
Swedish American Hospital- -_ - - ----- - - - - --- shybull 11 Lobe Transenpt Februarmiddot 24 2012 18 14-198 24 16-23 265-11 26 17-2714
13023-31 16 3212-368 4016--41 24 505shy5511 55 17-579 634-674 67 14-697 781-79 12 9522-97 15 9725-99 I 9920 shy10015 _-- ----------- shy
Chart C Contracts Contraf1 Negotiations and Contrading Strategy
HC OSF-United-03942--D3944 Contract appendix middot Illinois RegulatDY Reo lljrements Appendix
FlC OSI-United-03945-03953 All Paycr Appendix for Swedish Americfll Hospital
FIC OSF_Uci~d-63954-b3962 Options PPO Payer Appendix for Swedi~h American Hospital _____ ___ _shy
FTC OSF-Unied-03963 Medicare Select Appendix for Swedi~h
CCcc-----+Amif~C~CIClospill------ --- - -FTC nSF-United-15674-15677 E-Mail string dlll~d Augut 24 2())9
regarding contmct negotialiDns betieen United and Swedish American Hospital
3
PUBLIC VERSION
~~~~~---~~- ~- - c=c=ltC~=oc===------FTC OSF-Unitcd-16732 JnkrnalUnitcd c-mail communieatio1S regarding ~llntract nltlgotiation between United
ccc-oc----- shy and sect_vv~di~h__American Hospital FTC OS F-l1nited-18032-UW35 E-lvfail string dated April 12 2010 regarding
contracl negllliltltilln betweon United and
___ __ ~==~_____IiS- dihiIlI~~ltll_Hc~oOSpi~i==zcc---CfTe_C70~SFCi-United-19147-19148 Intern~ l Uni ted e-mltlil communication
regarding C(lntract negoliatiom between United and Swedish American IIospital---- __ - ____
~~i ~~ ~ F rC-UHC-00Q003-000014 UnitcdHcalthearc All P~yer Appendix 1010 1()4-930105
--crMM~- UnitedHcalthcare All Puyer Appemlix 1010105-930106
FTC-UHC-00Q027-000038
I FTC-UHC-OOQO I5-000026
UnitcdIIe~lthcare All Pllyn Appendix 10101(6-9i30107
I-TC-UHC-OOOO39-000058 iacility Participation Agreement ktweell UnitcdHcalthcare Insnrance Company und Rockford Memorial Hospital dated October I
-_+2~OO4~====~=====~_Hospital Participation Agreement between IlnitedHcalthcarc of Illinois Inc and Swedish Americm Hospital dated Januarv 12002
FTC UHC-()()0702-000713
r-rC-UHc-000059-000080
Contract Pro sal F rc- u HC-000714-000723 Physician Agftemem between
UnitcdHcalthearc of Illinois Inc and SlarrC(lTIl dated Allllllt 12002- -~-+~--~----
1 Lok Investigational Hearing September 272011 -2310-13 356-15 4020-41 8 429-44 18 4825-499 5623-57 12 58H-15 608-6120 626514 694-7025 73_2-83~-j__________ ~_
M Loblt Transcript January 10 2012 J819 197 454-14 63 19-66 17 67 19-748 7414shy763 767-8214 878-8813 8818-8923 102 5-14 1033-1055 10512-10614 109 1middot 111 5 111 23-1128 113 19-1206 12619shy13020 13514middot24 J384-ll 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 1732J-J748 1751-19 179 1-6 183 15-1872 1881~O~cl89~2clt+___~ ____ ~ ~------1 MLobeTrumcripLFehruary242012 145- I
7 19 15-223 36 9-376 41 25-42 9 43 16shy44 10 473-22 60 I0-62 I0 70 5-75 17 873shy
13 100j~1023 ~==~~=~____ i FTCmiddotROPF-005648 005656 I- rc OSFshy I Un~ign~d Draft Declaration of vIichelle Lobe Uniled-02968-02977 1~_9-2_9 _________~1
4
PUBLIC VERSIO~
All o f thr foregoing docwncnts and dopohion testi mony were designukd by United as
confidential pur-uanI to tho rrotcctivc Order Governing DiSlQwry Matcri31 dIIted NovembcT
18 201 I cntCTOO in this marter 111~ in limnalion contained in these dotumenls is tompditively
sensitive lind is hehl in strict confidence by United rublilt discloiurc of these documents is
likc ly to caus~ direct serious harm to tnitcds ~ompetitive pltJ~i()n Theroforo pursuant to 16
CFR ~ l 4Sb) United respectfully movcs for in ltQmera treatment r lhe rorcgoing documents
uml d eposition testimony
I U~TEDS CONFIDFNTIAL DOCUMENTS WARRANT IN CAMERA TKpoundATMENT lNDER TifF FElgtpoundK4L TKADECO1MISSIONS RtI FAi OF PRACTICE
Tho d(lcumenl~ dcltcribcd in this motion amwl in CllmaD 1featmcnl as p ro~ided by 16
ClmiddotR sect 345(b) The code section provides for In camera treallll~nl oj certain hj~incs -nlatcd
information Rclaling to business i~los tndcr 16 CF R 345(b) request for in carnerll
trelllm~n l will be grllnted where publie disclosure o f the dltxum~l1t ill questi ml wit 1LSUlt in ltI
clearl) defined serious iujury 10 the __ cOlJlOration requesting in caneTa treltlllCnl Id ThaI
~hwinll ean be made by establishing that Ih~ documCJ11 in qlJCSion is ufficiellll) slt~rc1 and
sunidomly matCTia l 10 the applicnnlS busiTKss thai disclosure Quld result in serious
compclitin injllI) 111 rt Oma Luw Corp 1999 FTC LEXIS 255 - 6 (])e 23 1999)
(quOlng (lenuill Foods Corp 95 FTC 352 3SS (19110)) In this context courts hllYe Ienerally
attempted to pro~ l ~()nldcntial buslnes9 infonllulion Imm unncre~gtIIry airing Hl Hood amp
S()tff hw 58 FTC 1184 I I 8S (1961)
Six fltCtori arc cighed in dctl111 inilli hether the documents in 1l11~ion arc Idlicienlly
sensitivc and material WI discllgtSure w(uld result iu serious compelitive inj ury
(I) the extenl to whi~h the infonnation is known outilide of the IIpplielUlt s business (2) the extent to which the infotmmion is known by employe~ lind 0Ihlt-~ involved in the ~IIiC 8ntS
5
PUBLIC VERSION
bilsines~ (3) the extent ofmeasur~s tahn by the applicant to guard the secrecy of lllt ill formation (4) the value of the information to the applicant and its competilor~ (5) thc amount of effOlt or money expended by the applicant in developing thc information and (6) the ea~e or difficulty with which IlIt information could be properly acqllir~d or duplicatcd by others
Dura Lube 1999 FTC LEXIS 255 at 6-7 (quoling RrislOl-Alyermiddot Cn Xl r Ic 455 456
(1977raquo
A IJnited Ha~ Preserved the Cunfidcntilllit)middot of the Documents and Information in Question
United has lahn ~lb~tantial measures to guard he infonnation contained in the
documents id~ntiied lIbovc by limiting dissemination of such information and taking reasonable
steps to protect its confidentiality Lobe Declaration 23 Such information is only di sclosed to
plIrti~ular lnited employee~ 1d Thc information i not known outside or United except to the
extem necessary to engage in cltJntnCt negotiations and it would be extremely dil1icult ror
Uniteds competitors (eli Aetna Blue CrossiBlu~ Shidd Cigna etc) thosc hcalthcare
providers in whi~h United negotiates contracts with (eg Rockford Memmlal OSF Swedi~h
Amcrican etc) and other outside porsons 10 acce~ or duplicate the information contained in the
documents lind k~timony identified in Charts A Band C Id Thes~ ~mJrt~ demon mate that
United has gone through great kngths to preserve the confidentiality of his infomllition and such
information should not be disdllgttd plblic-llly especially where United is nol a plIliy to this
action
B Disclsure of the Information Contained in the DOCUl)1cnt~ III Question Wuuld Result in Seriolls Competitive Injurv tu United
As set forlh above the nCllments for which United seeks in camera proteclion urI
grouped into three clllegllli~~ (I) membershipproductproprietary information (2)
Th Dtclaration of Michelle M 1Jgte in Support of NonmiddotParty UnitedHeahhGroup incmpuralds Motion for Tn Camera Treatment [)f lropalted Evidence i all~hud hurdo as Exhibit C
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
7
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
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_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
-------
- -
- -
PUBUC YERSION
------ _ shyUniteds 2006-2007 internal plidng information (allowed reimbursement as a
I FTC_OSi-[nitcd-01156
penoentage or gru~s ~hrges) for Sw~-dish
American IIospitaL HC OSF-tnited-O 1157 Uniteds chargemaster audit repulis for -
Rockford Memorial Hospital and Swedish bull American Hospital - _ shyUnited s internal Network Pricing Trend Calculator for Swedish American Hospital
jiIC OS-United-Ol25 5
--__shy --- --- - Uniteds internal Pricing Scenario Model for Swedish American Hospital
FrC OSF-United-01256
-- - shyUniteds internal Hos ital Prici ModelsFTC OSF-Uniled-01258-1264 01343- 01396--- --- shyUniteds imernal gtIetwork Pricing Trend CacnlalOr for Rockford lcmoriaillospitai
FTC OSF-Uniled-039 I 8-03940 Unitcds Reimbursement Analysis dated
FTC OSf-Unikd-OI340
Scptcmber 2008 relating to Swedish Americllll Hos~ital
-- - - -- - ---__ -- ------ - ----shyFTC OSF-)nil~d-179(9-1 7917 Uniteds inlernlll COR Analysis lilT Rockford -
Memorial Ilo~Eital dated March 2010 - -- shyFTC nSF Unicd-21778-21786 Uniteds internal COB Analysis for Swedi~h -
American Hospital dated December 2010 - -- ---- ----shyFTC nSF-United-217R7 Unircd s internal hospital financial analysis for -
Swedish American Hospital- -_ - - ----- - - - - --- shybull 11 Lobe Transenpt Februarmiddot 24 2012 18 14-198 24 16-23 265-11 26 17-2714
13023-31 16 3212-368 4016--41 24 505shy5511 55 17-579 634-674 67 14-697 781-79 12 9522-97 15 9725-99 I 9920 shy10015 _-- ----------- shy
Chart C Contracts Contraf1 Negotiations and Contrading Strategy
HC OSF-United-03942--D3944 Contract appendix middot Illinois RegulatDY Reo lljrements Appendix
FlC OSI-United-03945-03953 All Paycr Appendix for Swedish Americfll Hospital
FIC OSF_Uci~d-63954-b3962 Options PPO Payer Appendix for Swedi~h American Hospital _____ ___ _shy
FTC OSF-Unied-03963 Medicare Select Appendix for Swedi~h
CCcc-----+Amif~C~CIClospill------ --- - -FTC nSF-United-15674-15677 E-Mail string dlll~d Augut 24 2())9
regarding contmct negotialiDns betieen United and Swedish American Hospital
3
PUBLIC VERSION
~~~~~---~~- ~- - c=c=ltC~=oc===------FTC OSF-Unitcd-16732 JnkrnalUnitcd c-mail communieatio1S regarding ~llntract nltlgotiation between United
ccc-oc----- shy and sect_vv~di~h__American Hospital FTC OS F-l1nited-18032-UW35 E-lvfail string dated April 12 2010 regarding
contracl negllliltltilln betweon United and
___ __ ~==~_____IiS- dihiIlI~~ltll_Hc~oOSpi~i==zcc---CfTe_C70~SFCi-United-19147-19148 Intern~ l Uni ted e-mltlil communication
regarding C(lntract negoliatiom between United and Swedish American IIospital---- __ - ____
~~i ~~ ~ F rC-UHC-00Q003-000014 UnitcdHcalthearc All P~yer Appendix 1010 1()4-930105
--crMM~- UnitedHcalthcare All Puyer Appemlix 1010105-930106
FTC-UHC-00Q027-000038
I FTC-UHC-OOQO I5-000026
UnitcdIIe~lthcare All Pllyn Appendix 10101(6-9i30107
I-TC-UHC-OOOO39-000058 iacility Participation Agreement ktweell UnitcdHcalthcare Insnrance Company und Rockford Memorial Hospital dated October I
-_+2~OO4~====~=====~_Hospital Participation Agreement between IlnitedHcalthcarc of Illinois Inc and Swedish Americm Hospital dated Januarv 12002
FTC UHC-()()0702-000713
r-rC-UHc-000059-000080
Contract Pro sal F rc- u HC-000714-000723 Physician Agftemem between
UnitcdHcalthearc of Illinois Inc and SlarrC(lTIl dated Allllllt 12002- -~-+~--~----
1 Lok Investigational Hearing September 272011 -2310-13 356-15 4020-41 8 429-44 18 4825-499 5623-57 12 58H-15 608-6120 626514 694-7025 73_2-83~-j__________ ~_
M Loblt Transcript January 10 2012 J819 197 454-14 63 19-66 17 67 19-748 7414shy763 767-8214 878-8813 8818-8923 102 5-14 1033-1055 10512-10614 109 1middot 111 5 111 23-1128 113 19-1206 12619shy13020 13514middot24 J384-ll 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 1732J-J748 1751-19 179 1-6 183 15-1872 1881~O~cl89~2clt+___~ ____ ~ ~------1 MLobeTrumcripLFehruary242012 145- I
7 19 15-223 36 9-376 41 25-42 9 43 16shy44 10 473-22 60 I0-62 I0 70 5-75 17 873shy
13 100j~1023 ~==~~=~____ i FTCmiddotROPF-005648 005656 I- rc OSFshy I Un~ign~d Draft Declaration of vIichelle Lobe Uniled-02968-02977 1~_9-2_9 _________~1
4
PUBLIC VERSIO~
All o f thr foregoing docwncnts and dopohion testi mony were designukd by United as
confidential pur-uanI to tho rrotcctivc Order Governing DiSlQwry Matcri31 dIIted NovembcT
18 201 I cntCTOO in this marter 111~ in limnalion contained in these dotumenls is tompditively
sensitive lind is hehl in strict confidence by United rublilt discloiurc of these documents is
likc ly to caus~ direct serious harm to tnitcds ~ompetitive pltJ~i()n Theroforo pursuant to 16
CFR ~ l 4Sb) United respectfully movcs for in ltQmera treatment r lhe rorcgoing documents
uml d eposition testimony
I U~TEDS CONFIDFNTIAL DOCUMENTS WARRANT IN CAMERA TKpoundATMENT lNDER TifF FElgtpoundK4L TKADECO1MISSIONS RtI FAi OF PRACTICE
Tho d(lcumenl~ dcltcribcd in this motion amwl in CllmaD 1featmcnl as p ro~ided by 16
ClmiddotR sect 345(b) The code section provides for In camera treallll~nl oj certain hj~incs -nlatcd
information Rclaling to business i~los tndcr 16 CF R 345(b) request for in carnerll
trelllm~n l will be grllnted where publie disclosure o f the dltxum~l1t ill questi ml wit 1LSUlt in ltI
clearl) defined serious iujury 10 the __ cOlJlOration requesting in caneTa treltlllCnl Id ThaI
~hwinll ean be made by establishing that Ih~ documCJ11 in qlJCSion is ufficiellll) slt~rc1 and
sunidomly matCTia l 10 the applicnnlS busiTKss thai disclosure Quld result in serious
compclitin injllI) 111 rt Oma Luw Corp 1999 FTC LEXIS 255 - 6 (])e 23 1999)
(quOlng (lenuill Foods Corp 95 FTC 352 3SS (19110)) In this context courts hllYe Ienerally
attempted to pro~ l ~()nldcntial buslnes9 infonllulion Imm unncre~gtIIry airing Hl Hood amp
S()tff hw 58 FTC 1184 I I 8S (1961)
Six fltCtori arc cighed in dctl111 inilli hether the documents in 1l11~ion arc Idlicienlly
sensitivc and material WI discllgtSure w(uld result iu serious compelitive inj ury
(I) the extenl to whi~h the infonnation is known outilide of the IIpplielUlt s business (2) the extent to which the infotmmion is known by employe~ lind 0Ihlt-~ involved in the ~IIiC 8ntS
5
PUBLIC VERSION
bilsines~ (3) the extent ofmeasur~s tahn by the applicant to guard the secrecy of lllt ill formation (4) the value of the information to the applicant and its competilor~ (5) thc amount of effOlt or money expended by the applicant in developing thc information and (6) the ea~e or difficulty with which IlIt information could be properly acqllir~d or duplicatcd by others
Dura Lube 1999 FTC LEXIS 255 at 6-7 (quoling RrislOl-Alyermiddot Cn Xl r Ic 455 456
(1977raquo
A IJnited Ha~ Preserved the Cunfidcntilllit)middot of the Documents and Information in Question
United has lahn ~lb~tantial measures to guard he infonnation contained in the
documents id~ntiied lIbovc by limiting dissemination of such information and taking reasonable
steps to protect its confidentiality Lobe Declaration 23 Such information is only di sclosed to
plIrti~ular lnited employee~ 1d Thc information i not known outside or United except to the
extem necessary to engage in cltJntnCt negotiations and it would be extremely dil1icult ror
Uniteds competitors (eli Aetna Blue CrossiBlu~ Shidd Cigna etc) thosc hcalthcare
providers in whi~h United negotiates contracts with (eg Rockford Memmlal OSF Swedi~h
Amcrican etc) and other outside porsons 10 acce~ or duplicate the information contained in the
documents lind k~timony identified in Charts A Band C Id Thes~ ~mJrt~ demon mate that
United has gone through great kngths to preserve the confidentiality of his infomllition and such
information should not be disdllgttd plblic-llly especially where United is nol a plIliy to this
action
B Disclsure of the Information Contained in the DOCUl)1cnt~ III Question Wuuld Result in Seriolls Competitive Injurv tu United
As set forlh above the nCllments for which United seeks in camera proteclion urI
grouped into three clllegllli~~ (I) membershipproductproprietary information (2)
Th Dtclaration of Michelle M 1Jgte in Support of NonmiddotParty UnitedHeahhGroup incmpuralds Motion for Tn Camera Treatment [)f lropalted Evidence i all~hud hurdo as Exhibit C
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
7
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLIC VERSION
~~~~~---~~- ~- - c=c=ltC~=oc===------FTC OSF-Unitcd-16732 JnkrnalUnitcd c-mail communieatio1S regarding ~llntract nltlgotiation between United
ccc-oc----- shy and sect_vv~di~h__American Hospital FTC OS F-l1nited-18032-UW35 E-lvfail string dated April 12 2010 regarding
contracl negllliltltilln betweon United and
___ __ ~==~_____IiS- dihiIlI~~ltll_Hc~oOSpi~i==zcc---CfTe_C70~SFCi-United-19147-19148 Intern~ l Uni ted e-mltlil communication
regarding C(lntract negoliatiom between United and Swedish American IIospital---- __ - ____
~~i ~~ ~ F rC-UHC-00Q003-000014 UnitcdHcalthearc All P~yer Appendix 1010 1()4-930105
--crMM~- UnitedHcalthcare All Puyer Appemlix 1010105-930106
FTC-UHC-00Q027-000038
I FTC-UHC-OOQO I5-000026
UnitcdIIe~lthcare All Pllyn Appendix 10101(6-9i30107
I-TC-UHC-OOOO39-000058 iacility Participation Agreement ktweell UnitcdHcalthcare Insnrance Company und Rockford Memorial Hospital dated October I
-_+2~OO4~====~=====~_Hospital Participation Agreement between IlnitedHcalthcarc of Illinois Inc and Swedish Americm Hospital dated Januarv 12002
FTC UHC-()()0702-000713
r-rC-UHc-000059-000080
Contract Pro sal F rc- u HC-000714-000723 Physician Agftemem between
UnitcdHcalthearc of Illinois Inc and SlarrC(lTIl dated Allllllt 12002- -~-+~--~----
1 Lok Investigational Hearing September 272011 -2310-13 356-15 4020-41 8 429-44 18 4825-499 5623-57 12 58H-15 608-6120 626514 694-7025 73_2-83~-j__________ ~_
M Loblt Transcript January 10 2012 J819 197 454-14 63 19-66 17 67 19-748 7414shy763 767-8214 878-8813 8818-8923 102 5-14 1033-1055 10512-10614 109 1middot 111 5 111 23-1128 113 19-1206 12619shy13020 13514middot24 J384-ll 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 1732J-J748 1751-19 179 1-6 183 15-1872 1881~O~cl89~2clt+___~ ____ ~ ~------1 MLobeTrumcripLFehruary242012 145- I
7 19 15-223 36 9-376 41 25-42 9 43 16shy44 10 473-22 60 I0-62 I0 70 5-75 17 873shy
13 100j~1023 ~==~~=~____ i FTCmiddotROPF-005648 005656 I- rc OSFshy I Un~ign~d Draft Declaration of vIichelle Lobe Uniled-02968-02977 1~_9-2_9 _________~1
4
PUBLIC VERSIO~
All o f thr foregoing docwncnts and dopohion testi mony were designukd by United as
confidential pur-uanI to tho rrotcctivc Order Governing DiSlQwry Matcri31 dIIted NovembcT
18 201 I cntCTOO in this marter 111~ in limnalion contained in these dotumenls is tompditively
sensitive lind is hehl in strict confidence by United rublilt discloiurc of these documents is
likc ly to caus~ direct serious harm to tnitcds ~ompetitive pltJ~i()n Theroforo pursuant to 16
CFR ~ l 4Sb) United respectfully movcs for in ltQmera treatment r lhe rorcgoing documents
uml d eposition testimony
I U~TEDS CONFIDFNTIAL DOCUMENTS WARRANT IN CAMERA TKpoundATMENT lNDER TifF FElgtpoundK4L TKADECO1MISSIONS RtI FAi OF PRACTICE
Tho d(lcumenl~ dcltcribcd in this motion amwl in CllmaD 1featmcnl as p ro~ided by 16
ClmiddotR sect 345(b) The code section provides for In camera treallll~nl oj certain hj~incs -nlatcd
information Rclaling to business i~los tndcr 16 CF R 345(b) request for in carnerll
trelllm~n l will be grllnted where publie disclosure o f the dltxum~l1t ill questi ml wit 1LSUlt in ltI
clearl) defined serious iujury 10 the __ cOlJlOration requesting in caneTa treltlllCnl Id ThaI
~hwinll ean be made by establishing that Ih~ documCJ11 in qlJCSion is ufficiellll) slt~rc1 and
sunidomly matCTia l 10 the applicnnlS busiTKss thai disclosure Quld result in serious
compclitin injllI) 111 rt Oma Luw Corp 1999 FTC LEXIS 255 - 6 (])e 23 1999)
(quOlng (lenuill Foods Corp 95 FTC 352 3SS (19110)) In this context courts hllYe Ienerally
attempted to pro~ l ~()nldcntial buslnes9 infonllulion Imm unncre~gtIIry airing Hl Hood amp
S()tff hw 58 FTC 1184 I I 8S (1961)
Six fltCtori arc cighed in dctl111 inilli hether the documents in 1l11~ion arc Idlicienlly
sensitivc and material WI discllgtSure w(uld result iu serious compelitive inj ury
(I) the extenl to whi~h the infonnation is known outilide of the IIpplielUlt s business (2) the extent to which the infotmmion is known by employe~ lind 0Ihlt-~ involved in the ~IIiC 8ntS
5
PUBLIC VERSION
bilsines~ (3) the extent ofmeasur~s tahn by the applicant to guard the secrecy of lllt ill formation (4) the value of the information to the applicant and its competilor~ (5) thc amount of effOlt or money expended by the applicant in developing thc information and (6) the ea~e or difficulty with which IlIt information could be properly acqllir~d or duplicatcd by others
Dura Lube 1999 FTC LEXIS 255 at 6-7 (quoling RrislOl-Alyermiddot Cn Xl r Ic 455 456
(1977raquo
A IJnited Ha~ Preserved the Cunfidcntilllit)middot of the Documents and Information in Question
United has lahn ~lb~tantial measures to guard he infonnation contained in the
documents id~ntiied lIbovc by limiting dissemination of such information and taking reasonable
steps to protect its confidentiality Lobe Declaration 23 Such information is only di sclosed to
plIrti~ular lnited employee~ 1d Thc information i not known outside or United except to the
extem necessary to engage in cltJntnCt negotiations and it would be extremely dil1icult ror
Uniteds competitors (eli Aetna Blue CrossiBlu~ Shidd Cigna etc) thosc hcalthcare
providers in whi~h United negotiates contracts with (eg Rockford Memmlal OSF Swedi~h
Amcrican etc) and other outside porsons 10 acce~ or duplicate the information contained in the
documents lind k~timony identified in Charts A Band C Id Thes~ ~mJrt~ demon mate that
United has gone through great kngths to preserve the confidentiality of his infomllition and such
information should not be disdllgttd plblic-llly especially where United is nol a plIliy to this
action
B Disclsure of the Information Contained in the DOCUl)1cnt~ III Question Wuuld Result in Seriolls Competitive Injurv tu United
As set forlh above the nCllments for which United seeks in camera proteclion urI
grouped into three clllegllli~~ (I) membershipproductproprietary information (2)
Th Dtclaration of Michelle M 1Jgte in Support of NonmiddotParty UnitedHeahhGroup incmpuralds Motion for Tn Camera Treatment [)f lropalted Evidence i all~hud hurdo as Exhibit C
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
7
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLIC VERSIO~
All o f thr foregoing docwncnts and dopohion testi mony were designukd by United as
confidential pur-uanI to tho rrotcctivc Order Governing DiSlQwry Matcri31 dIIted NovembcT
18 201 I cntCTOO in this marter 111~ in limnalion contained in these dotumenls is tompditively
sensitive lind is hehl in strict confidence by United rublilt discloiurc of these documents is
likc ly to caus~ direct serious harm to tnitcds ~ompetitive pltJ~i()n Theroforo pursuant to 16
CFR ~ l 4Sb) United respectfully movcs for in ltQmera treatment r lhe rorcgoing documents
uml d eposition testimony
I U~TEDS CONFIDFNTIAL DOCUMENTS WARRANT IN CAMERA TKpoundATMENT lNDER TifF FElgtpoundK4L TKADECO1MISSIONS RtI FAi OF PRACTICE
Tho d(lcumenl~ dcltcribcd in this motion amwl in CllmaD 1featmcnl as p ro~ided by 16
ClmiddotR sect 345(b) The code section provides for In camera treallll~nl oj certain hj~incs -nlatcd
information Rclaling to business i~los tndcr 16 CF R 345(b) request for in carnerll
trelllm~n l will be grllnted where publie disclosure o f the dltxum~l1t ill questi ml wit 1LSUlt in ltI
clearl) defined serious iujury 10 the __ cOlJlOration requesting in caneTa treltlllCnl Id ThaI
~hwinll ean be made by establishing that Ih~ documCJ11 in qlJCSion is ufficiellll) slt~rc1 and
sunidomly matCTia l 10 the applicnnlS busiTKss thai disclosure Quld result in serious
compclitin injllI) 111 rt Oma Luw Corp 1999 FTC LEXIS 255 - 6 (])e 23 1999)
(quOlng (lenuill Foods Corp 95 FTC 352 3SS (19110)) In this context courts hllYe Ienerally
attempted to pro~ l ~()nldcntial buslnes9 infonllulion Imm unncre~gtIIry airing Hl Hood amp
S()tff hw 58 FTC 1184 I I 8S (1961)
Six fltCtori arc cighed in dctl111 inilli hether the documents in 1l11~ion arc Idlicienlly
sensitivc and material WI discllgtSure w(uld result iu serious compelitive inj ury
(I) the extenl to whi~h the infonnation is known outilide of the IIpplielUlt s business (2) the extent to which the infotmmion is known by employe~ lind 0Ihlt-~ involved in the ~IIiC 8ntS
5
PUBLIC VERSION
bilsines~ (3) the extent ofmeasur~s tahn by the applicant to guard the secrecy of lllt ill formation (4) the value of the information to the applicant and its competilor~ (5) thc amount of effOlt or money expended by the applicant in developing thc information and (6) the ea~e or difficulty with which IlIt information could be properly acqllir~d or duplicatcd by others
Dura Lube 1999 FTC LEXIS 255 at 6-7 (quoling RrislOl-Alyermiddot Cn Xl r Ic 455 456
(1977raquo
A IJnited Ha~ Preserved the Cunfidcntilllit)middot of the Documents and Information in Question
United has lahn ~lb~tantial measures to guard he infonnation contained in the
documents id~ntiied lIbovc by limiting dissemination of such information and taking reasonable
steps to protect its confidentiality Lobe Declaration 23 Such information is only di sclosed to
plIrti~ular lnited employee~ 1d Thc information i not known outside or United except to the
extem necessary to engage in cltJntnCt negotiations and it would be extremely dil1icult ror
Uniteds competitors (eli Aetna Blue CrossiBlu~ Shidd Cigna etc) thosc hcalthcare
providers in whi~h United negotiates contracts with (eg Rockford Memmlal OSF Swedi~h
Amcrican etc) and other outside porsons 10 acce~ or duplicate the information contained in the
documents lind k~timony identified in Charts A Band C Id Thes~ ~mJrt~ demon mate that
United has gone through great kngths to preserve the confidentiality of his infomllition and such
information should not be disdllgttd plblic-llly especially where United is nol a plIliy to this
action
B Disclsure of the Information Contained in the DOCUl)1cnt~ III Question Wuuld Result in Seriolls Competitive Injurv tu United
As set forlh above the nCllments for which United seeks in camera proteclion urI
grouped into three clllegllli~~ (I) membershipproductproprietary information (2)
Th Dtclaration of Michelle M 1Jgte in Support of NonmiddotParty UnitedHeahhGroup incmpuralds Motion for Tn Camera Treatment [)f lropalted Evidence i all~hud hurdo as Exhibit C
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
7
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLIC VERSION
bilsines~ (3) the extent ofmeasur~s tahn by the applicant to guard the secrecy of lllt ill formation (4) the value of the information to the applicant and its competilor~ (5) thc amount of effOlt or money expended by the applicant in developing thc information and (6) the ea~e or difficulty with which IlIt information could be properly acqllir~d or duplicatcd by others
Dura Lube 1999 FTC LEXIS 255 at 6-7 (quoling RrislOl-Alyermiddot Cn Xl r Ic 455 456
(1977raquo
A IJnited Ha~ Preserved the Cunfidcntilllit)middot of the Documents and Information in Question
United has lahn ~lb~tantial measures to guard he infonnation contained in the
documents id~ntiied lIbovc by limiting dissemination of such information and taking reasonable
steps to protect its confidentiality Lobe Declaration 23 Such information is only di sclosed to
plIrti~ular lnited employee~ 1d Thc information i not known outside or United except to the
extem necessary to engage in cltJntnCt negotiations and it would be extremely dil1icult ror
Uniteds competitors (eli Aetna Blue CrossiBlu~ Shidd Cigna etc) thosc hcalthcare
providers in whi~h United negotiates contracts with (eg Rockford Memmlal OSF Swedi~h
Amcrican etc) and other outside porsons 10 acce~ or duplicate the information contained in the
documents lind k~timony identified in Charts A Band C Id Thes~ ~mJrt~ demon mate that
United has gone through great kngths to preserve the confidentiality of his infomllition and such
information should not be disdllgttd plblic-llly especially where United is nol a plIliy to this
action
B Disclsure of the Information Contained in the DOCUl)1cnt~ III Question Wuuld Result in Seriolls Competitive Injurv tu United
As set forlh above the nCllments for which United seeks in camera proteclion urI
grouped into three clllegllli~~ (I) membershipproductproprietary information (2)
Th Dtclaration of Michelle M 1Jgte in Support of NonmiddotParty UnitedHeahhGroup incmpuralds Motion for Tn Camera Treatment [)f lropalted Evidence i all~hud hurdo as Exhibit C
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
7
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLIC VERSION
pricinglJinaneial infomtalion and (3) contractscontract ncgoliationsoonlrllCtinamp stmtcv As
explained bc low disc10SUJIl of this infnmlUlion would cause serious wmpelith-c inj ury to
Unil~t1
1 lcm~rshjpPnxllPm prictarv InfoDDution
Chart A idenlili es tMSll docments which contain infonnation nla ting to Uniteds
Clllom~r gTClpS membership product offerings lind product performance Lobe D~claralion 1
3 The in rormation contailled in the~ documcnlll is compiled by United ~nd it not generally
arui b blc to he public Id Public dissemillUtion o f th is information would ~ult in oompctitiiC
injury to United ill that cornpeli l(gt1lI may use this in ronnalion to reduce Uniteds rnarke share
ttnd 9 fJIllmtially layenet L nileds c Ll~tomc r (especililly ihose mme profitable customer Of
employer r(1ps) and contracted healthcarc provider d A~cotdingly Ihc documents
identified in Chart A ~huld be affordClln cmn~r IreUncn1
2 fOci and Fhlaacial llliQtwalil)n
Chart R identifics those tiwummLS which OO Dtain Unikd~ highly confidential argtd
commercially lCnsiti vc information regarding pricing and financial infomlulion and how United
compilos and analyzes such information in its business and conllllCt ncgotiadoJll Lobe
lkctarntion 4 These document rov~l sensitive infonnatioll Je1ling the manner in which
Un(ed negotiates rutes and ~ontracts with providenl and how United allal gtmiddotz~~ such informatioll
to lIuin II ~ompctifive advanlllge d This infomlulion lld be used by Unit~js competitors for
tltei r own advantagc in targeting United contrtuttd hlallilcarc pro~middotider and umtl Y1jog the
manner in which United sets its CQlltrUL1 rate Id Additional lv thb information could bt uored
b) heahhcare prtwidcrs to gain an ud vanlllgc during oontmet nelolitlltgtn~ with United (and otJrer
payolS for t~1 mallcr) and potentially drive up re imbursement amounl~ Id Disclosure of thi s
7
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLIC VERSION
inrormalion could nsul l in serious damllge 10 Uni lcd s cornpctiljic alh-an1llgC in Ihe marketplace
vi~middotvis compeli lOl~ and heallhcarc providers Id
3 Conic COntraCI NcoliatiQn~ pnd CynlmClins SltlllCBY
Chart C identifies various conlr~CI~ contreet appendices WId conl ru~1 um~ndments a~
well as ~ommunications relating to contract neglJliation~_ Lohc Declaration 5 The contrac ts
appcndics ilIIIendments tml wrnmllnications rcyelll sensi ti ve information regard ing Unitcd ~
negotiatiuns and agrecmenls with annUli hcaJthCllIe provilkrs d The cont mcu Ihcmselcs
w nluin speci fic cornpcnSltinn chedulcs lhal identi fy he Kli United [lim LO hcaJ lhcarc
WVyidc[S rllT )Oryiees d 11 of this informlilion is highly confidenTial Imd commercially
scn~iTic (d The dischmun or thi s infonnation would TeHal valuabl~ informatinn Tcpoundarding
the Wly Ihul United ncgOliatCli eontrw rg ~nJ del~Tmincs rates for phy~ician ~~rvices pnKesses
that Uniled has expended n~llncrOU5 hours WId mallY years to develop id This infonnalion
could be U5Cd by heallhcure pf(lvlden dwillg conlnLct negoliali llns 10 ncrea~ reimbursement
rlle1 under lfly potential conlrllCl Id AddilinoUll y this infomtalion could be used by United)
competitors for Ihrir o~l1 lIIh-antagc by Targeting Uniteds oontmctcd providcn and sualy-ziIlll the
mllnner in which United dtlmnin il~ rlICS d Uniteds drorts to negotiate lind analyze rnles
have ullowed it In gain a competitive udvln lagc in the markeplll~e aml to btU~T serv ice its
insureds lind ell1ployer grour ~ d If this infom)tion werc di ~cl osed publicall y it wOlild nS llit
in serious damage United s CIImpethvc advantage in the markdpla~e Id
C The Public iolt in Oisdoll le of Ibe oxum~nl ill Quo~tiltln is Outmiddott ighed by Ih t Likdihood ufsrious Compelillvt lhnn 0 Ullihd
M a non-pany tu this mlIltCf Uniled dese-n es splcial soi ici l udc~ in iu request for if
ulllenJ UCfllmcnt of its confidential business infonnation In file Muller 1 Kaiser Aluminllm amp-
Chemicul Curp 103 ITC 500 500 (1984) (ordcr directing in camer(1 treatment for five -yearshy
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PtBLlC VERSIOl
old sales statistics of nonparlks) In mmera treatment of infonnation encourages wn-prnties lD
cooperate with future discovery rcqucsts in adjudicative proceedings Id Dniled ha cooperaled
with toc discovery demands in this case hltls pnxiUCtd over OOO() pages of documents and M5
Loblt h~ been deposed three times in connection with the pwposed mlTer at i S~l)Il Convmsdy
plJbJic IJndeTStunding or this proceeding docs wt depend on access to Duileds highly
con [idenlia in lormation Id The balance of interests clearly favors in camera protection for the
documents and deposition teslimony idenlilied in lhi~ tn()tion See BriIo Xl FrC at 456
(describing six-factor test for determining secrecy and makriltlJity)_
D In Cumrrri PrOlection for the Documents Identified in Chari A Should Extcnd For 5 YCllr~ and bl Camera Protection for the Document~ Identified in Chart~ JJ and C ShouhJ Fdend Indefinitely
The nature of the confidential information contained in the documents identified in Chart
A warranls prokctiun A~Cllnlingly United reqie~ts that lh~ documents identitled in Chart A he
afforded in camera protection for a period of five years
The natur~ or lhe highly confidential and comnlcrcially sensitive infonnation contained
m the doclllllellls identilied in Charts Band C warrants indclinite in mmera treatment
lndefinitc in camera trcatment may be granted where the competitive sensitivity or the
proprieklry value or lhe information will not diminish with the passagc of time In re Coca Cala
Co 1990 FTC LEXIS 364 (Oct 17 Jm) rnlike ordinary business records such as busincss
plans markcting plans or sales documents whi~h on~n receive in camera treatment fo r
~hon~ned periods of time the information contllined in the doc llment8 ilkntilied in ChrI~ B ~nd
C is exlrem~l ellsitive and of such enduring significant proprictm)- value to Uniteds
competitive position ltnw bu~ine~s strategy that its value will not diminish with the passage of
time Ac~ordingly Unil~d r~~ped lullj r~ql~sts that the documellt~ idcntifirxl in Charts B and C
oc affordcd indefinite in camera protection
9
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PCBLIC VERSION
II CONCLUSION
Under the Jcderal Trade Commi~~illns Rules of Practicc and relevant FTC precedenl in
Ctlmera IT ealmenl of the docnments idelllilied 1ll Churl~ A Hand C is warranted These
documents are both se~rel and material to a maJor component of Unileds business
Acwrdingly United nqucsts that the dllllmenl~ id~nlified in Chart A be afforded in comem
treatment for a period 01 5 year and that the documents idenlilied in Chrt~ B and C be afforded
indcfinite in cornelll Ireumenl4
Dated j1ruch 20 2012 UNITEDHEALTH GROUP INCORPORATED
James K Grudner Athanasios Papadopoulos lEAL ULRllEi amp EISENBERG LLP Two Jorth LaSalle Street Suite 1700 Chicugo Illinois 60602 (312) 269-5982 (312)429-3575 Pax igardnerCdmiddotngeluwcom t pa pad 0 119uIos(rilleIaw ~om
bull Attached hereto a Ehibil D is a P((ro~ed Orltkr
10
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUllLK VERSION
UNITED IIT ATFS OF AMERICA BEFORE THE FEDERAL TRADE COMflSSION
In h~ Maller or ) )
OSF Hellthcam Sytem ) Dodd ~o 9349 ~ COplTU(ion and ) PUBLIC
Rockford Hcalth System a corporation
) ) ) )
CERTIFI~ATE OF VERIFICATION OF WORD COLNT
I hereby certify that NonmiddotParty Unit~dII~alh Group In~orporaled s Motion for In
Camera Tnatmcnt of Proposed Evidence docs not t xeeed the 2500 word count pr 16 crR ~
322(c)
Alhan~i()~ PPldopolllos
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PIJRLlC VRRSION
UNITED STATES OF ltilERICA HF1I0RF THE IIRIlERAL TRAIlI CO1-IISSI0~
in the Matter of ) )
OSF Hcalthearc System ) Docket No 9349 a e()rporation and ) PLlRLlC
Rockford Health System a corporation
) ) ) )
CERTlFICAn FOR FLFCTRO~IC FILING
I certify that the electronic copy sent to lh~ S~cTdary of Ih~ COnJmi~sion i u lme ~11 J
correct eopy of the paper original and that j possess a paper original of the signed docum~nt thm
is uvuilabk for r~view by Ih~ parties or h~ adjllltli cuior
) Athallasios Papadopoulos
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PUBLIC VERSTO~
CERTUICATE OF SERYICF
I certify that on March 20 2012 I ~enl lhe foregoing document by F~dEx 10 and that I tiled the j(lfegoing document electronically nsing the FTCs E-Filing SSlOm which will send notification of such liling (0
Donald S Clark SO~rlary fFDERA[ TRADE COMM1SSlO4 600 Pennsylvania A~c NW Room 172 Washington DC 205S0
I also ~ertify that on March 20 2012 I sent the foregoing docum~n( b) electronic mail and F~dEx Iv
Hon D Miohad Cumpbdl Adrninirlmtiyc Law Judge FEDERAL JRADE COMMISSION 600 PUJllylv~nia Avc NW Rm 11-110 Washington DC 2U580
I also cer(ily lhal on March 20 2012 I scnt the for~going docilluent b) elednmi~ mail 10
CQUlIsd or RrrUigtrd Heqlth S)lIem
Dailtj Marx Jr (dmarltmwc lttOm) William P Schuman 6~~hl~n~~~~c()fl) Am J Cnrl~tti (rlettiZmwewm)
Jeremy 1 Morrison McDERMOTT VILL amp EMERY LLP Kalilcrinc A 227 W 1on~ Str
Chioago IL 60606 (II) n
Wahinglon DC 20580 JeffTOY Vi lron Carla AR JIje I il
C~d (or OSF Hmiluar( Svslem iieol L Csll~ Rachacl V Lcwi
Alan 1 Greene (llglIC(th inshawl~ ll) Diel G IowonrlttatttJew J OHara (mohara1Yhjnshwlawcornj hm~s B ClImd~11
Kri(in M Kurczwcski I McDERMOTT 600 13 ~ Sl NW
222 I LSall~ SI S~ilc 300 Viashington DC 2()()()S-3())6Chjcago [1 606()1
Michael lasparro (milpmro(iihjl1h~wlw ow) HINSHAW amp CULBPRTSOl JIP 100 Part Av e Rockford IL 61101
A(hanasios Papadopoulos
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
lJ-IITIW STATES OF A1I-IERIC BEFORR THR FEIlERAL TRAUmiddot COMlflSSIOK
In the Ma(t~r or ) )
OSF HeaJlh~are Sy~tem ) Docket ~o 9349 a corporation illld ) PUBLIC
) Rockfimll-kaHh System ) a corporatiolJ )
)
iOi-PARTY UNITEDIIEALTH GROUP INCORPORATIWS MOTlO~ FOR IN CAMERA TREAII1EII OF PROPOSEIl RVJI)RNCE
EXHIBIT A
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
Mm Sf ~TPS OF AloIouc
FEDERAL TRADE COMMISSION WA51arQlt oc ~
BIlt_oIC~ IV
MardllJ10l2
VIA ELEC[RON Ie MAl L
lnitcdHcallhcaru or J ini do AthanaltiOl (Tom) Papildopolll NclI G-be- amp Eletlberll LLP Two North LaSalle Shut Suile 1700 Chicago U 60602
R In Iltt llaltff of OS tlQUllure S))I~ nd BockrunlllcUIt S)lIUm Oock~t No 9349
oar Mr P~pftdopoulos
By thi~ kilN we nr~ Plo~ i ding fonnAl ooricu to (initrollcallhlan of Ill ino is purmillt to Rul 3A(b) ohoe COIImiiOJl Kules ofPBclce 16 CFK sect 3AS(b) ll1Bl Complaint Cvunsc1 ilIlend~ 10 offer 11M malal e(erencd in Altadm1Cnt A ililo twooce in the sdminillrltie lIial in the abovt-aptioned mtter f or yuur COnaliClIOO r ha~t allllChed the mlfltrial refccd in Anacltmau A Th aWnjniSfratlw trial i $Chcdllod to ~gin OIl April 17 2012 All cxhibitamp lIdmiUoo into eviden~ booom~ rartofthe publ ic record unleS in CQm~rltl statu i gramed by Adminilrnliv Law Judge D Michael Chappell
For dltx-um~nt~ or t~imony thai include lel1 siive or wnfidential intormalion thnt you do oot WIIllI on tn public rlCOld you mUSI ti le ~ molion seeking in cam stalllS or Ih oonfwrotialilY pM iOlIS pursuanl 10 16 CFR U l4S and 41 U(g) JLioIse Chappdl may ordtI Ihat matcriala whdhei admitted or nje1d lIS CVidcncc be placed n ltlt~f1I only fin finding mt dleir public di$loolIe will likely mlul in a dearly defined smoUl injllty to the person Iutnc~hil or oorporatiull lu~ing jn cltwfm tre~1JneL For eumplc judgC$ hay~ granled I camuQ motions after noopllrties 10 a proclt)Cdi ng dlllnstratoo lhat public discllsu re of cnmrn=ial1y ~ll5itivc informatiOll would OXP()~0 them III seriOlISoompeiitive djsadval1tag~ that they had taken and oontlnnoo 10 talee measures 10 gUlIld the secrccy of the intonnation and thai the do-umrnls al iuue had loOt hOXIl widely dislltminutoo_
Malian for ill filnUQ uellunent forcvidcm 10 be innuduccd at trial mU31 meet the ltIlQdards set forth in 16 CF R sect 345 and cxplauwd in In rc Duro LIIN Corp 9)Q FTC LHX[~ 255 (llce 23 1999) In rc UQcdm Mnrioo RlJluc111lCbull 2000 FTC IPXIS 157 (Nov
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
22 2X1O) and 2ltXXJ rTC LEXlS 138 (Sept 19 20(0) If III Ba~ic Reenrc~ Inr 2006 ITC LEXlS 14 (Jan 2S 20(6) Moion~ also mil he upponro by a ued nnuioll affidav it by a ))ltflaquolTl ltInlifi 1 to rxplilin the oonlideTlIi~1 nature of the material r8 Nrmil TIgtM Splttialry
P~ysjcjal1l 2004 PTC LEXlS 66 (April 23 20(4) For your convenience I nwe provided two
cumplcs f lhinipany mOlions (~Ild t11~1r ltCCCmpanyiog declaraliOM or ofliJavif) for in CQmElQ trcalfUlDI thaI weril filed and grnulcd in ~ ~I TC admiruslntric prolt-rding
PI be ~ware tMI ultkr the cwren Scherlul ing OrdcrdatOO Oecerllber20 201 L 1M deadline for filiog mnsiQll Wjng II mmCtlZ itlull1i is Mardi ZOo2012 If)11U h3c any questi_ plcaiIC I~I Ji~ 10 w nlacl me al (202) 326middot211 ~ or at dzachfq()VOfSarohSlIin at (202) 326middot2639 or at ss wlinftcgo nlank you
D beIl
Auachmomh
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
Attachment A In the Marter of as Healtheare System and Rockford Health Sywm O bull kcl No 9349
List of UnitedHcalthcarc ofIllinois I hihi tlt Marked hy Complaint COlIn1
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PapadopOUIOS Athanasios TDITI
From Field Kennalll [kfieklCJftegov] Sent Tuegtday March 13 2012303 PM To PaplttdopouloB AlulrIMio6 Torn
Zach Daniel SWain Sllrah I( Subject RE In m OSF arid RHS FTC Docket It 9349
Tom IJ rl(c r th e December 20 2012 sched ulin g order In the adm Inimlive p roceed in g the dearl iin e lor de pos it ion counter designations Is March 23 2012 three day after the de~ ~ l l ne fo r yo u to file seeking in camero t rntment of the t riJ nrcr lpu Accordingly we ca noot prov ide you wi th the flnal and complete list of d~si~ n~t I O Il S for Ms Lobes February 242012 depo$ltlon until after the fi ling deadline That said Complaint CoUn5erS d e slg ~tlons to date Ind ude the following portlon~ of the rfbruary 24 2012 deposition trauscript
(pageUne - PagelIneJ 6 - 6 68 19 79 - 21 128 - is 1310 147 H21 - 3~ 10
3525 - 3611 36 2~ - 375 4g 22 - 5020 542 22 754 middot 9 780 middot 798 941 - 19 9423 - 9715 9725 -991 9920 - 1023 102 5 - 10323
The emnt 01 Complaint (umels coumer deslsnninns will depend largely on what Respo noents deslgfl31e but we will keep ~ou Infoml~d in any case Please roote t~t Respcmdents have an independent obligation t o notify United ~bo ut
tllIl( d~s lg n at l o n s and an~ othe r Unit ed tl ter la Is Rcspoflde nt~ int ~nd to introduce in to evid~nee
Th~ n k you
Ken Field us Fedelil Tlid~ Commission 601 New Jersey AveruJt NW Washington DC 20001 Phone 2023252868 fa~ 2023262286 Email ~ fltldftcgov
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
UNITlW STATES 01 AMERICA BEFORE THE FEDERAL TRADE COMMISSIO~
In the Matter of ) )
OSP IIealthcare Sy~tem ) Docket lt0 9349 a corporation and ) PUBLIC
)Rockford Health System )a corporation )
)
NON-PARTY lNITIWIlEALTII GROUP IKCORPORATIWS MOTION FOR IV CAMERA TREATMICfT OF PROPOSED EVIDFNCE
EXHIBITB
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
McDermott Will amp Emery _ ~ eKgtoo ~ _- _ l _ - CooloA RH
n j _ ~ _ ~ -~=n
20middotI~
March 13 20l2
VIA E-MAIL JGARDiER~GEUWCOM BY CS MAIL
Jame K (jardr Esq Neal Gerber amp Ei~enbe rg 1LP Two North LaSalle St Suite 1700 Chicago lL 606l2
Re 111 th~ Matter of OSF Ilealhca Sytem Qnd Rockford ll ealth System [)octet No 9349
Dear fro Gardner
I write on behalf of Repondents to provide notice to your client UniledHcallh~ar~ uf Respondents intent 10 otJcr your client malcrials viltitncc al Lll~ h~aring in lite aooveshyrdcrCll~d maller pursuanllO 16 CFR sect 34S(b) ~nd (he Scheduling Orrler iued hy Judge Chappell Oll D~cemher 20 201 1 Below are tetimony excerpts and n list of documents that your diem uhmittedn response to Civil Investigatiye Demands and SubJXgtetlas Duces Tecum issued by Complaint Counsel and ResjX)ndcnt Counsel in this matter and that Respondents in(~nJ LU introduccent ~~ evd~llee at the hearing schedulelt to ~ommellec on April 17 2012
~ _j ~ wxf [ _c o
bull w ~ 0 - __ yo MOO ~_ ~ W~_ __ -
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
James K Gardner Esq March 132012 Page 2
01067
BlueC~rd PPO
PPO
(Winnebago)
It loA () Designated N~twork 0f Iloltpital and Affiliated Phyicians Why UnitcdHcalthcare
til i UnitedHealth~re Choice Plm
Choice UnitedJJealtncarc Choice PIll
T i
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
Jal1J~s K_ Gdn~r Esq_ -larch 13 2012 Page 3
011
OJ J54 FTC OSFshyUNITEDshy
01155 01155 -- ------ shyFTC OSFshy
m
010 by County
Charges
Hospital Financial Analysis
J
Missouri Mrntet January 24 2012
1
SwedihAmeieltm
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
J~tI1es K Gardner Esq MaNh lJ 2012 Page 4
01256 jrymiddotc OSF- NiA
2lI12012
-shylaional IJrgtpitallricllg Mndcl
- - - ------ shy
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
)amegt K (jaroncr E5q March 13 2012 Pnae s
Ie
0 -1William re Friday Call (Lo~ Deposition)
UHC TflIscripl and
Redcn-amp Anders ReimhumeiiiAn-=yCCc----i SwcdkhAmtri can IQpital Scp1 ~mber 200g
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
--- --
James K_ (tardner Esq March 132012 Page 6
2010
Swedi8hAmerican Medical Group PropoMI
-
Swedish American Hmpilal May 31
Ingell C(llsulting Hospilal Fimm~ial Anal) ~i
kmb~hip by wunry - Rockford
m
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
Jwml K (lardner Esq March 1)2012 Iage 7
22 17-23 233-15 24 25 -27 ~ ~O 1 ~~~-34 1 ~ 365-3 9 19 4~ 4_ 476 47J9-41UO 48 11)-494 1 1 51 11 51 1 ~-52 4 529-547 55 1 amp-57 1 57 17-20 58 13- 19 602-624 62 18-63 J3 6319-6622 671)748 74 14-763 767-8 I24 8215-20 8317-846 8414-858 8521-869 81amp-88 I) 8818-899 11924-90 1 9022-955 95 10-20 8shy9719 9721-983 988-99 10 9914- 1 004 100 l ishy10)7 103 12- i6 105 6- 1 062~ 107ltH3 1083shy12 109 1_ 11 15 JII 18-22 1133-17 1151 1shy11 75 120g-1I 126 19-1276 1 291~-IJ1 1 0 1l2 14-11D 134 IS-U 8 II 142 D -22 1467-20
622-7 20 132 1322-25 1515middot20
147 1 9-14~ IO 1498-1505 1501KmiddotI S3 13 15J 1715610 IS6 1Smiddot157ltgt 15724middot 1589 17010middot17124 1921O-1SJ4 18517-1872 I
_L___ ~ 1 88 10- 1 8 92 _
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
James K Gardner Lq MUflth 1J 2012 Page ~
~~ 1814-223 2325-2423 265-11 3212-376
1 505-5511
13l-----------J Sincerdy_
CbuA (l (2 Hi tiL
Carla A R 11ine
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
lNlTEDSTATF$ OF AMERICA BEFORE THE FEDERAL TRDE COlMISSTON
In the Vlatter of ) )
nSF Healthcare System ) Docket No 9349 a ~orporaljlln anltJ ) PLBLIC
) Ro~HllrltJ Health System ) a ~orporatjlln )
)
No~-rARTY U~ITfnHEALTH GROUP IICORPORATIWS MOTION ltOR LV CAMERA TREAT]ffiNT OF PROPOSED KVIIlFCE
EXHIBIT C
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
rNlTED STATES OF AMFRICA UEFORE THE IED]poundRAL TRADE COMtISSIO~
In the Matter of ) )
OSF IIeJlthltmiddotar~ Sy~I~111 ) Docket No 9349 a corpor~tion and ) PCllLlC
Rockford IIehh Sysl~l11 a corporation
) ) ) )
DFCLARATIOI OF MICHFLLE M LOBI 11 SUPPORT OF NON-PARTY UITEDHRAITH GROUP TNCORPORATFDS MOnON FOR IN CAMERA
TREAD-tENT OF PROPOSED EVIDElCE
I Michelle M 1000 d~elare a~ 1()l1ows
I I am currently Regional Vice-Presidenl Ior Nelwori- ll-tanagement for
)niledHeltl1 Ih~are of JI linois Inc In my position I am responsible for managinF the contracting
team for all of the physicians Illtlspitals and ancillarj conlra~l I()T )nledIIe~lthcare in the IG
markel IhmlLghmd Ihe cenlJal Cuiled States I have been in this position for five years
2 lnitedIIealthcare has wken subswntial measure~ to ~aloglmrd lh~ inl()rmlion
contained in thc documcnls identilied in ehrgt A Fl ltmd C (attached hereto as Exhibit A) by
li111ling disseminmion of such information and by taking rcasonable steps to protect ils
confid~ntiality Ihc information contained in thc documcnts idemiried in ChOIrgt A Fl nd C i~
dicloed only 10 pani~uhr lJllil~dH~llh~T~ employees and is not generally kno~n outside of
UnitedIIealthc~re except to the extent necessary to engage in contract negotiations [he
information contained in the documents identiticd in Charts A Hand C would bt eXIT~111dy
di liell]l rOT lJniledHelthcweS cltJmpelilors healthcare providelli and any othcr third partics
3 Chart A identifies those documents which contain inlmnalion rellillg 10
1J1lil~dH~llh~ar~~ ~uslom~r group~ membtrhip product offerings and product performance
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
The information containcd in thesc documents is compiled by Unitcdllealthcare and is not
generally av~ibble to the puNk Pllblic ltlisstminalion of this information would result in
competitive injury to United in that competitors nw) use this illilgtrJllation 10 redu~~ Untelt
markd share and to potentially poach Uniteds customcrs (cspecially thosc morc profitable
customers or employer gfllUp~)
4 Ch~rt FI iltkntilies thOM ltllgtltllm~nl~ whkh ~(ln4in Unikd~ highly ~()nlidenlial
and eommcrcially scnsitivc information rcgarding UnitcdI-lcalthcarc pricinJ and financial
inlorma(ion with regard to it~ conlrads with heallhcare proviltlrs anltl how lnit~ltlHIlHhlt
compiles and analyzes such infolTIwtion These documents reveal sensitivc information
rcgarltling the manner in which Unilcd ncgotialo~ ratc~ and ennlract~ with pf()vder~ and hw
Unitcdllealthltare analyzes such illfonnation to gain a competitive advantagc rhis information
could be uscd by UnitcdHcalthearcs compctitor~ for their own advantage in targeting
Unitedlkallocares ~ontr~ded providllrs aml allaly~ing the maImer in which Uniled sets its
contract rates Additionally this information could bc used by healthcare providers to gain an
advltmlage during ctllltrJd ll~go(ialion~ wi1h Unil~dlIealthcare lind potentially drive up
reimbursement amounts Disclosure of this infoTInation could resu lt in ~crious damage to
UnitedlJealtllCHrlls competilive advltIlllagll ill lhe make1pkl~e vis-i-vis its ctlmpetilionanrj
hcalthcare providers
5 Chart C identifies VflrJOUS conmcl ctllltract Jppendice and ctmlract
alllendrncnt~ as well as communications relating to contract negotiations The contracts
appendices am~ndments Jud ~ommWJicati(ln~ reveal ~en~itie nillfltion r~gllrding
CnitcdHealthcarcs contract negotiations and agrecmcnt with various healthcarc providcrs Ihc
contracts themselves contain specific compensation scheltlules that identity the rates
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
--~~~ - --- 1---~ ~--+shyUnited1lealthcarc payslO heaJtbciire providers fur serviccfl All of thls information is highly
confidential and comtlltrcially CIlSitive The disclO$Ure1of 11m inlormaion wookI reveal I valuampble imight regarding the wy 1001 UnitedHnltJe prepllle1 COIllacting Slral~
I ncgotitus COIlllflcts and detcnnines 1lItei fur plylicW services proccssea thaI UnitedHM1~ has experxkd oorneroos boon and matly yean to develop This information could be used by
healthcare proYlders ruring eonuact nesotiaticos to illClll3$C roimbulSemelll notes u~ any
potentil contract Additionally this infurnuolion 4 be used by UnitodHealthcve
eompctilors for their own advlIItage by targeting UnitcdHealthcare conlrlcted providers and
analyzing the IIWUIer in which UniledRealthcue determines in rates UnltodHealtbatt s clfuns
10 negotiate aDd aoaJyze ICS baveuowcd it 0 gain compclitive advanlage in the mariltcrpbi
and 10 bet ler scrWe iu customen Iftltis information wen diselo~ publicaJly it could rClUI
in mou damage Viii edHealtheare competitive ldvantage in the markelplac(
J declare ~penalty ofpujury that the foregoing i~ true
Signed this l1 day ofMarch 2012
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
fXHIRIT A TO DK LARATlOrs Oli lIC HELLE 11 LOUE
Chari A - Mflllben hiD PWHSl pd frop-wt ry Infortllatlol
ChHrt B - United s Pricing nod FinanciMllnformAtioll
for members in Boone Ogle and
FTC OSI middotUnitcd-01255
Uniteds 2007middot2009 itllclnai pridng iurormation rdmbllncm~nt as II
for Rockford
lor Swedilh
audit report~ for Kockford Memoriallklsl)ital and S -ed irb Americao H ital Uniteds intomaJ Netwt)ri riLinl Trend Calculator for SW(di9h AmeriCWl Hospital
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
~oc=cc=~------c==-c=c=-- --shyT-rc OSF-lJnitcd-01256 lJniled~ internal PIking Sltenario Moodd for
11I]JEi3JlCiJlI~TIMJljjCijJ-~-C-IT~ct-i5~W~~~iSh American JIospitaL~FTC OSF-United-01258-1264 01343- 01396 Fie OSF-Unitcd-OI340
FTC OSF-Unikd-03918-03940
FTC OSF-Cnited-17909-17917
FTC OSF-Cnited-21778-21786
ITC OSF-United-11787
_Uniteds intemal IIospit~ ~ricing Models Ul)jkds intemal Network PJicing Trend
Calculator for Rockford Memorial Has itaL United s Reimbursement naly~is dated ScptClllOCr 200X relating io Swedi~h gtm(l1i~an Ho~ itai lnitcds internal COR Anltly~is for Rockford llemoril Ho~ U11 dated March 2010 lJnited~ internal COR Analysis for Swedish Ameri~n Hos ital dated December 2010 United internal hospital financial analysis for
-+~Sdish American lIo________~~~~_~~==~__ J Iii Lobe Transcript February 24 2012shy18 14-198 24 16-23 265-11 26 17-27 14
3023-31 16 32 12-3 6~ 40 16-41 24 505shy55 11 55] 7-579 634-674 6714-697 7R 1-79 12 9522-9715 9725-99 I i920shy100J5
Chart C ~ontrach ontract Nelotiations and Contractin Stratel
FIC OSli_[ni(ed 01942 03944 Contract appendix Illinois Regulatory ReQllir~mell(S AJJFendi~
FTC aSF-United-OJ 945-03953 All raY~r Appendix for Swedish Amorican -Hlgts ital
FTC aSF-Uniled-OJ954-03 962 Op(ions pro Payer Appendix for Swxish -Amer~Ul Iiosoital -
FTC OSF-Unil~d-OJ963 v1cdicare Sekd Appendix for Swedish Ami~an Hospital-
FTC OSF-Uniled-15674-15677 E-Mail stling dated August 24 2009 regarding Clgtntract llc~otiations bctweelllJniwd
_ ~lld Swedish American HospitaL FTC OSF-Unitcd-16732 Intemal United c-mai] commllnicatillns
regarding contract negotialilln~ between Cnited and Swcdi~h Am~rkUl II~)pit11 _____~--I
1( OSF-Unilcd-l S032-18035 [-Slail string dated Apl 122010 regarding contract negotiations between United alld
lto-------icccchfAcmcCHIl IIosjlitaiCmiddotccccczcc---1FTC OSF-Uniku-19147-19148 Internal Unileu e-mJil cOimnunieations
regarding contract negotiations betwecn liniloo
~=~==~_______-+m-S~edih AmcFj~~e-HopCI_~____ ITC-UnC-OOOO03-0UO) 14 UnitedlIealthcarc All Payer Appelldix
1 l04-lt3005
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
PTe -UHC-()()(lO 1 i-000026 I Unit~dHcalthearc All Payer Appendix
i IOiOli05-9i30i()6 F I C_U HC-OO()02 7 -00003 ~ lJllitedH~1ltheare All Payer Appendix
i 1Oi01 i(li-9i30i07 F IC-I H C-OOOO39-0()()()5H Facility PMlidpalion Agreement bt(ween
UniledBealth~ure Ingturance CompIllY Illd Rockford Memorial IIospital dated October I 2004
_ _
FTC-illIC-OOOO59-0()()(lSO i Hospital Participation Agreement belween UniledHellh~aTe olTllinois Inc and Swedish Amerieltm IIo~Jliwl dated Janulll 1 2002
FIC-lJ HC()()0702-()()07 1 Contract Pro aI F rC-UHC-000714-0()0723 Ph si~ian Agreement between
ll1itedlleJlthcare ofIllillOis Inc and Stafttorp dated August L 2002
M Lobe Investigational Heating Seplemher 272011 23 I 0-13 356-15 4020-41 8
42944 1H 4H25-499 5623-57 12 588-15 60H-6120 6256514 694-7025 73 ~ -838
M Lobe Tranwtipl JanullrY 102012 - 1819shy197 454-14 63 19-66 17 6719-748 74] 4shy763 76 7 -82 14 87 8-HH 13 XH IH-H921 1025-14 ]033-1 055 ]()512-1()(i14 1091shy
]1 ]5 ]1 121-128 11 319-1206 12619shy13020 13514-24 1384-11 14213-] 505 15018-15116 163 ]0-16 ]6413-]7 16424shy16510 16525- ]661 17321-1748 1751 -19 ]791-6 18315-1872 18810-1892 M 1obe Tran~crjpl F~brlaJY 24 2012 -145shy7 1915-223 369-376 41 25-429 43 16shy4410 473-22 6010-6210 705-7517 H73shy13 10016-1023 FTC-ROPE-005648-005656 FlC OSl- Ln~igneJ Dmll Dedaratioll of Michelle Lobeshyl~)de02pound968O297C7--_______--1~8 20-26
GUXlCS IEI26 1
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
U~ITED STATES OF A-mHlCA DEFORE THE FEDERAL TRADE COMMISSIOJ
In the Matter of ) )
osr Ilealthcare Sy~tem ) Docht ~o 9349 a corporalion and ) PU13LIC
)Rockford Health System )a corporalion )
)
NON-PARTY UJlTEDHIiALTH GROLP IlCORPORATEDS MOTION FOR PI CAlfERA TRFATME~T OF PROPOSIpound) EVIDENCE
EXHIBITD
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
lINITED STATIpoundS OF AMERICA HFFORF THF f1IWERAL TRADE COMMISSION
In the Matter of )
) OSF Healtncarc System ) Docket No 9_149 a (AlTponltion and ) PUHLIC
Rockford Health System ) )
a corpnltion ) )
PROPOSED ORDER
On Mar~h 20 2012 non-Parly lJnitedHehh Cn)up In~orpomled (Uuited) Jiled shylotion i)r Tn Camera Tretmelll of Proplt)sed Evidence which seeks in camera treatment for documents ~nd deposition testimony that contain confidential business information which have been identified by Complaint Counscl and Respondent Counsel that may ~ inttodll~~d ito evidence in connection with this matter
IT IS HUREllY ORDERED that lJllitcd~ Motion i~ Ciranted
IT IS HR1HhR ORDERED that til) following docliment~illlormltltion will be subject to in mm~JI treatmenl l1nd~r crR sect 345 md will be k~pt confidential and not placed on the public record of this proceeding for a period of five years
o 0
amp2 1amp5shy24 393-19 466-476 4719-485 9723shy
983 1~1c~2imiddoti~16~8~iWloil~I~1M Lobe Transcript
for members inlloonc Ogle and WillllCb1g0
~j-llstomers and membership ufolmltltion for Boone Ogle and Willllcbago Counties intemal email 20-oocliif--1
information in the Rockford area I a~
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
IT IS FURTIIER ORDERED that the following documentslinfonnation will be subject to in camera treatment under C1J sect 345 and will be kept confidential and not plaecd on the public record of this proceeding or at any point thereafter
()
infommlion for Rockford
information (allowed reimbursement as a
i
inlOillwtion (allowed reimbursemcnt as a
Irrc-KiGcUi---------~~~~~ of gross charges) for Swedish ~FTC OSF-IJnileu-OI t~7
1814-198 3023-3116 1 55 1 1 55 17-579 63 4-67 4 67 14-69 7 781-7912 9522-9715 9725-991 9920shy
)
l
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
Unitod
--------r~~ contract negotiations betWet-ll Uniied
FTC OSF-United- 18032-18035
()
M 272011-2310-13 i 429-44
)( 1
4020-418
contrad negoialion8 between Unitelt
rn~urance Company ami RocklunJ Memorial Hospital dated October 1
Unitedl-Icalthcarc ofillinois Inc and Swedi~h
Inc and
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________
~f Lob~ Tran~ctipj January I 0 20 12 I ~ 19shy197 454-14 6319-66 17 6719-748 74 14shy763 767-8214 878-8813 8818-8923 1025-14 1033-1055 10512-1lI614 1091shyIII 5 II I 23-112S 11319-1206 12619shy13020 13514-24 Ug4-11 14213-1505 15018-15116 16310-16 16413-17 16424shy16510 16525-1661 17321-1748 1751-19 1791-6 18315-1872 18810-1892 M Lobe Transcript rebruary 24 2012 145shy7 19 I 5-223 369-376 41 25-429 43 16shy44 I 0 47 3-22 60 I0-62 I 0 705-75 17 87 3shy13 10016-1023 lTC-ROPE-)05648-005656 FrC OSFshyIlnikd-028-02977 l IS 20-26 __
Ln~igned Dmft Dedaralioll of MidIelk Lobeshy__________~
IT IS FURTHFR ORDFRED that only uuthorizcd f cderal lradc Commi~sion porsolllwl ar1d COliit persOlmei concemed with judicial review may hayC acccss to the ab()W-ld~nlilied doclment~information provided that 1 the commission and reviewing COl1Tls may ltlbdose SllCh
in camera information to the extent nrcc~ary for the proper d posi(ion of the proceeding
ORDERED --oc=c-~c---oc--shyD 1vliehael Chappell Chief Admistralive law Judge
DATRD________