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Question ID 17120	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.
Option A	Situation A: price fixing; Situation B: horizontal division of markets
Option B	Situation A: price fixing; Situation B: tying arrangement
Option C	Situation A: horizontal group boycott; Situation B: horizontal division of markets
Option D	Situation A: horizontal group boycott; Situation B: tying arrangement
Correct Answer	A

Explanation

Question ID 17121	The National Association of Insurance Commissioners (NAIC) adopted the Health Maintenance Organization Model Act (HMO Model Act) to regulate the development and operations of HMOs. One true statement regarding the HMO Model Act is that the act
Option A	includes mental health services in its definition of basic healthcare services
Option B	authorizes only one state agency-the department of insurance-to regulate HMOs
Option C	requires HMOs to place a deposit in trust with the state insurance commissioner for the purpose of protecting the interests of enrollees should an HMO become financially impaired
Option D	requires HMOs that wish to offer a point-of-service (POS) product to contract with a licensed insurance company to provide POS options to plan members
Correct Answer	C

Explanation

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