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.
Farlex Partner Medical Dictionary © Farlex 2012

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.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.

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.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

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
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

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.
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
Yet the fund only paid $9,307.76, asserting that it was entitled to a PPO discount because it had arranged with Blue Cross of California to purchase a discounted rate for Blue Cross patients.
Throughout this article, we use the Medicare-defined class of coordinated care plans (CCPs) as a comparison for PPOs. CCPs, almost all of which are HMOs, are plans that have a network of providers, and may be thought of as managed care plans.
Discounts applied through this model are not specific to the actual health-care providers used by your employees, but are a blend of discounts based upon a distribution of services and facilities inherent to all claims discounted through that carrier's national PPO network.
Agents, brokers and consultants will have new opportunities to add value by helping employers come up with ways to shop for PPOs based on something other than price and gut instinct, experts interviewed predict.
Market characteristics that served as controls reflected the communities in which the employer groups were located and included cost adjustments at the Standard Metropolitan Statistical Area (SMSA) level for hospital prospective payment, including the Medicare wage, cost, and practice indices; the median rental rate for personal rental property for the city (a proxy for individual incomes); the number of hospital beds in the SMSA; basic demographic information, region, and managed care competition reflected by the number of health maintenance organizations in the SMSA; and the number of PPOs in the state.
it usually happened that the Captain or the Judge had never even seen or heard of these cases." (26) In fact, however, the PPOs' decisions were consistent with juvenile court policy, which stated that they were to "take the place of a court of first jurisdiction in a large majority of cases of delinquency." If only due to the extraordinary number of investigations, the court had to depend "upon the judgment of the police probation officers whether or not a case shall appear in court." (27)
The PPO shall also have jurisdiction when a passenger is brought in or detained in the PPO for questioning in connection to an alleged unlawful act committed.
According to sample rates published for a 40-year-old, a PPO member's monthly premium on a silver plan could be around $626 while an HMO member's monthly premium could be around $383.
In contrast, the PPO industry that most employers utilize today guarantees overpayment for services in almost all scenarios through their opaque contracting models, especially for hospital services.
furnacalis PPOs in different tissues, total RNA samples were isolated separately from combined heads, midguts, fat bodies, and hemocytes from 20-day-zero fifth-instar larvae.
London: Fitch Ratings says in a new report that managing exposure to growing periodic payment orders (PPOs) will be a substantial challenge for UK motor insurers, placing greater importance on their asset liability management strategies.