preferred provider organization

(redirected from Prudent buyer)
Also found in: Dictionary, Legal, Financial, Wikipedia.

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 ?
The agreement adds the Prudent Buyer Plan PPO, which consists of over 48,000 physicians and more than 400 hospitals in California, to the advanced network management services CoreSource offers its clients.
BCLH will begin marketing the Prudent Buyer HCO plan to its existing clients in early 2003.
It is a source of great satisfaction to us that our subscribers will continue to benefit from the savings realized as a direct result of Prudent Buyer.
This change will affect doctors who provide services to members of the company's Prudent Buyer Plan, a preferred provider organization (PPO) serving nearly 2 million members throughout California.
26 /PRNewswire/ -- Access Health (NASDAQ-NMS: ACCS) announced today plans to expand its Personal Health Advisor(SM) pilot program to serve Blue Cross of California (BCC) and its affiliates' Prudent Buyer Small Group Plans, Senior Alliance, its offerings for Medi-Cal recipients and other members covered under their Consumer Services Group.
The new contract will take effect May 1, 2000 and will allow Blue Cross Prudent Buyer and CaliforniaCare members to access three local Cottage hospitals as participating providers.
25 /PRNewswire/ -- Access Health (NASDAQ: ACCS) announced today plans to expand its Personal Health Advisor(SM) pilot program to serve Blue Cross of California (BCC) and its affiliates' Prudent Buyer Small Group Plans, Senior Alliance, its offerings for Medi-Cal recipients and other members covered under their Consumer Services Group.
The study, which was based on the experience of BCC's Prudent Buyer Plan preferred provider organization (PPO), and published in the Journal of Health Economics, supports federal reform proposals that rely on aggressive competition between managed care plans.
The plan will function as a Health Maintenance Organization (HMO) in counties where a Blue Cross Medi-Cal program has already been established, and an Exclusive Provider Organization (EPO) plan, using Blue Cross' extensive Prudent Buyer Preferred Provider Organization (PPO) network in other counties.
Faye Donley, vice president of BCC's Prudent Buyer Plan preferred provider organization, is responsible for contractual relationships with more than 30,000 participating doctors.
employees will be offered coverage through a variety of products including CaliforniaCare HMO, Blue Cross Plus, a point-of-service product that combines advantages of both the HMO and Prudent Buyer Plan PPO, as well as WellPoint Pharmacy benefits, effective Jan.
has introduced Prudent Buyer Exclusive, a new product that combines the low cost benefits of a Health Maintenance Organization (HMO) with the freedom to choose physicians and specialists within the Exclusive network without a referral.