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Greenpath Health Services, Inc

question 20

Multiple Choice

Greenpath Health Services, Inc., an HMO, recently terminated some providers from its network in response to the changing enrollment and geographic needs of the plan. A provision in Greenpath's contracts with its healthcare providers states that Greenpath can terminate the contract at any time, without providing any reason for the termination, by giving the other party a specified period of notice. The state in which Greenpath operates has an HMO statute that is patterned on the NAIC HMO Model Act, which requires Greenpath to notify enrollees of any material change in its provider network. As required by the HMO Model Act, the state insurance department is conducting an examination of Greenpath's operations. The scope of the on-site examination covers all aspects of Greenpath's market conduct operations, including its compliance with regulatory requirements. From the following answer choices, select the response that identifies the type of market conduct examination that is being performed on Greenpath and the frequency with which the HMO Model Act requires state insurance departments to conduct an examination of an HMO's operations.

Definitions:

Monopolistic Competition

is a market structure characterized by many firms selling products that are similar but not identical, allowing for competition based on quality, price, and marketing.

Quantity of Output

The total amount of goods or services produced by a company or an economy in a given period.

Monopolistically Competitive Firm

A firm in a monopolistic competition operates in a market structure where many companies sell products that are similar but not identical, allowing for some degree of market power.

Cartel Production Quota

The allocated amount of production assigned to each member of a cartel, aiming to control supply and influence market prices.