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provider organizations, managed health care service | agents or other health care payors to negotiate optimal | payment and service arrangements with hospitals, | physicians, allied health care professionals or other | health care providers; |
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| (2) The extent of any reduction in competition among | hospitals, physicians, allied health professionals, | other health care providers or other persons furnishing | goods or services to, or in competition with, hospitals | or nonprofit mental health care providers that is | likely to result directly or indirectly from the | hospital cooperative agreement and its likely impact; |
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| (3) The extent of any likely adverse impact on | patients or clients in the quality, availability and | price of health care services; |
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| (4) The availability of arrangements that are less | restrictive to competition and achieve the same | benefits or a more favorable balance of benefits over | disadvantages attributable to any reduction in | competition likely to result from the agreement; and |
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| (5) The extent of any likely adverse impact on the | access of persons in in-state educational programs for | health professions to existing or future clinical | training programs. |
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| C. In evaluating the cooperative agreement under the | standards in paragraphs A and B, the department reviewing | agencies shall consider the extent to which any likely | disadvantages may be ameliorated mitigated by any reasonably | enforceable conditions and the extent to which the likely | benefits or favorable balance of benefits over disadvantages | may be enhanced by any reasonably enforceable conditions | under subparagraph (2). |
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| (1) In any certificate issued under this subsection, | the department reviewing agencies may include | conditions reasonably necessary to ameliorate mitigate | any likely disadvantages of the type specified in | paragraph B, subparagraphs (1) to (3). |
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| (2) In any certificate issued under this subsection, | the department reviewing agencies may include | additional conditions, if proposed by the applicants, | designed to achieve public benefits, which that may | include but are not limited to the benefits listed in | paragraph A. |
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