preferred provider organization


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Related to preferred provider organization: health maintenance organization

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 Northeast health plans offer a wide array of products including: Health Maintenance Organization (HMO), Point-of-Service (POS), Preferred Provider Organization (PPO), third-party administration, Medicare and Medicaid.
Because of our experience and capabilities in the area of health maintenance organizations and preferred provider organizations, we will be able to demonstrate to current and prospective customers the substantial advantages that we can offer them," said Clapp.
19, 2011 /PRNewswire-USNewswire/ -- The American Association of Preferred Provider Organizations (AAPPO) is urging Members of the House of Representatives to support H.
Serving the occupational, auto and group healthcare markets, Concentra provides employers, insurers and payors with a series of integrated services that include employment-related injury and occupational healthcare, urgent care services, in-network and out-of-network medical claims review and repricing, access to preferred provider organizations, case management and other cost containment services.
AHP began operations over 8 years ago and as of the end of 1993 ranked as the seventh largest preferred provider organizations in the Dallas-Fort Worth area serving approximately 150,000 people in 32 counties through over 2,200 physicians, 40 acute care hospitals, 9 specialty care facilities and numerous other providers.
The company, along with other preferred provider organizations (PPOs), insurance companies and third-party administrators, had been sued by four Louisiana health care providers alleging that the defendants provided legally insufficient notice under Louisiana law of PPO discounts to which the health care providers had contractually agreed.
29 /PRNewswire/ -- The Pacific Region of the American Association of Preferred Provider Organizations (AAPPO), the trade association for managed care Preferred Provider Organizations (PPOs), announced today 1995 Pacific Region Officers and board members.
The HMO/PPO Directory is a comprehensive source that provides detailed information about Health Maintenance Organizations and Preferred Provider Organizations nationwide, including key contacts.
NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral health care organizations (MBHOs), preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs and other health related programs.

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