AHIP Exam AHM-510 Topic 4 Question 40 Discussion

Actual exam question for AHIP's AHM-510 exam

Question #: 40
Topic #: 4

Determine whether the following statement is true or false:

Although most-favored-nation (MFN) clauses in contracts between health plans and healthcare providers are not per se illegal, they should be reviewed under the rule of reason analysis for antitrust purposes.

ATrue, because the Federal Trade Commission (FTC) ruled that MFN clauses are not per se illegal and the FTC encourages health plans to include them in provider contracts.

BTrue, because although MFN clauses are not per se illegal, they violate antitrust laws if they have a predatory purpose and an anticompetitive effect.

CFalse, because MFN clauses involve decisions by providers concerning the level of fees to charge, and thus they are per se illegal.

DFalse, because MFN clauses are not per se illegal, and thus they are exempt from antitrust laws and regulation by the FTC.

Show Suggested Answer

Suggested Answer: B

by Lorean at May 05, 2022, 10:34 AM

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