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AHIP AHM-510 Exam - Topic 5 Question 20 Discussion

The following situations illustrate per se violations of federal antitrust laws:Situation A - Two groups of providers agreed among themselves that each provider will do business with health plans only on a fee-for-service basis.Situation B - In order to avoid competing with each other, two independent, competing physician-hospital organizations (PHOs) divide the geographic areas in which they will market their services.From the following answer choices, select the response that correctly identifies the types of per se violations illustrated by these situations.
A) Situation A: price fixing; Situation B: horizontal division of markets
B) Situation A: price fixing; Situation B: tying arrangement
C) Situation A: horizontal group boycott; Situation B: horizontal division of markets
D) Situation A: horizontal group boycott; Situation B: tying arrangement

AHIP AHM-510 Exam - Topic 5 Question 20 Discussion

Actual exam question for AHIP's AHM-510 exam
Question #: 20
Topic #: 5
[All AHM-510 Questions]

The following situations illustrate per se violations of federal antitrust laws:

Situation A - Two groups of providers agreed among themselves that each provider will do business with health plans only on a fee-for-service basis.

Situation B - In order to avoid competing with each other, two independent, competing physician-hospital organizations (PHOs) divide the geographic areas in which they will market their services.

From the following answer choices, select the response that correctly identifies the types of per se violations illustrated by these situations.

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Suggested Answer: A

by Linn at May 06, 2022, 09:52 PM

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Heike
11 months ago
I thought tying arrangements were more common, but this makes sense!
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An
11 months ago
Situation B is definitely horizontal division of markets.
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In
11 months ago
Wait, are we sure about Situation B being a market division?
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Dalene
11 months ago
Totally agree, that's a clear violation!
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Corinne
11 months ago
Situation A is definitely price fixing.
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Roselle
12 months ago
I'm a bit unsure about this one. I'll need to think through the different access levels and permissions that a partner admin role might have.
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Mitsue
12 months ago
This seems like a pretty straightforward question. I'd go with option B - assessing the organizational culture. That's key for understanding the potential pushback from the functional groups.
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Malcom
12 months ago
This question seems similar to one we practiced on pensions, where we had to calculate the taxable portion. I think I can recall the formula.
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Chan
12 months ago
This seems like a straightforward question about Ezmeral Container Platform privileges. I'll need to think through the different options carefully.
upvoted 0 times
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Marge
12 months ago
Okay, let me walk through this step-by-step. I'm confident I can get the right answer if I take my time.
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