Marion HealthCare, LLC. v. Southern Illinois Healthcare Services, No. 20-1581 (7th Cir. 2022)
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A southern Illinois outpatient surgery clinic accused the area’s largest hospital system and its largest health insurer (Blue Cross) of violating federal and state antitrust laws by entering into contracts that designate the hospital but not the clinic as a Blue Cross preferred provider (in-network provider). A district judge granted judgment in favor of Blue Cross, reasoning that insurers are customers and cannot be liable for the practices of sellers with market power. The clinic and the hospital agreed that a magistrate judge could handle the rest of the case and enter a final judgment, 28 U.S.C. 636(c). Discovery followed. After reviewing a special master’s report, a magistrate granted the hospital summary judgment on the ground that the clinic had not been injured.
The Seventh Circuit affirmed, first noting that Blue Cross had not consented to a magistrate having final authority. However, Blue Cross received a district judge's decision and impliedly consented to the magistrate by submitting documentation. Neither federal nor state law prohibits preferred provider agreements; the agreements are not exclusive dealing or tie-in arrangements. The clinic "scarcely tries to show that it has been injured by reduced output or higher prices," nor does it allege that there is any historical link between the
hospital’s insurance-contracting practices and either prices or output.
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