preferred provider organization

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pre·ferred pro·vid·er or·ga·ni·za·tion (PPO),

a health care delivery model that uses a panel of eligible physicians.

preferred provider organization

(prĭ-fûrd′)
n. Abbr. PPO
A health insurance plan in which members pay less for health care provided by professionals and hospitals affiliated with the plan.

preferred provider organization (PPO)

[-furd′]
Etymology: L, praeferre, to put before
an organization of physicians, hospitals, and pharmacists whose members discount their health care services to subscriber patients. A PPO may be organized by a group of physicians, an outside entrepreneur, an insurance company, or a company with a self-insurance plan. See also health maintenance organization.

preferred provider organization

Managed care A network of independent health care providers who provide medical services to a health plan's members or purchasers–eg, insurance companies, employers and other health care buyers at a discount; PPO members typically have autonomy over health care rather than needing to pass by a primary care (gatekeeper) physician like HMO members; use of in-network physicians is less expensive than using non-network providers. See Fee-for-service, HMO.

pre·fer·red pro·vid·er or·gan·i·za·tion

(PPO) (prĕ-fĕrd prŏ-vīdĕr ōrgă-nī-zāshŭn)
A U.S. health care organization that negotiates set rates of reimbursement with participating health care providers for services to insured clients. This is a type of prospective payment or managed care system.
See also: health maintenance organization

pre·fer·red pro·vid·er or·gan·i·za·tion

(PPO) (prĕ-fĕrd prŏ-vīdĕr ōrgă-nī-zāshŭn)
A U.S. health care organization that negotiates set rates of reimbursement with participating health care providers for services to insured clients. This is a type of prospective payment or managed care system.

preferred provider organization (PPO),

n a formal agreement between a purchaser of a dental benefits program and a defined group of dental professionals for the delivery of dental services to a specific patient population as an adjunct to a traditional plan, using discounted fees for cost savings.
References in periodicals archive ?
And, as a national TPA, we can combine the California Prudent Buyer Plan PPO with other leading regional and national networks to seamlessly cover employees located outside California as well.
BCLH will begin marketing the Prudent Buyer HCO plan to its existing clients in early 2003.
Designed as an exclusive provider organization product (EPO), the Prudent Buyer Exclusive Network is a subset of Blue Cross of California's Prudent Buyer Plan Network, and is currently offered to employer groups with more than 50 employees located in Los Angeles County, effective Sept.
BCC is offering three standard Prudent Buyer Exclusive plans: 1) $10 Co-pay with 100% hospitalization; 2) $15 Co-pay with 90% hospitalization and $350 hospital admission fee; 3) $20 Co-pay with 80% hospitalization and $350 hospital admission fee.
Additionally, the Cholestech L-D-X System was chosen by Blue Cross of California for its Prudent Buyer Program, Blue Shield of South Carolina for its Preventive Services programs and for the two-year Project IMPACT study being administered by the APhA (American Pharmaceutical Association) and funded by Merck.
In a separate contract signed with the County of Kern, WellPoint Dental Services is providing Prudent Buyer Dental (PPO) coverage for 3,500 county employees.
Although underestimated at the beginning of the negotiations, this preliminary inquiry is crucial and it is wise to be followed properly by prudent buyers who are eager to avoid any unpleasant surprises or obstacles which may lead to a lengthy and costly litigation battle.
Van der Bunt's enforced bluntness helped sniff out prudent buyers while snuffing out miscreants.
Liberals ignore the business maxim that goods or services offered at a competitive price will always attract prudent buyers, and that there are boundless opportunities outside the EU, with China and India.
As we all know, demand tends to inflate prices beyond common-sense valuations, making deal structures more aggressive and creating an environment in which more prudent buyers are disadvantaged because potential sellers believe their practices are worth more.
How are prudent buyers and sellers to satisfy themselves that the values being guided truly reflect current circumstances?
This means that prudent buyers must work with their agents/companies to fully comprehend specific coverages.