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

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.
References in periodicals archive ?
Preferred provider organizations (20%) Health Maintenance organizations (19%) Point of service networks (3%) Conventional indemnity plans (58%) Source: HIAA Employer Survey, 1992, of 2,516 private firms and 95 state and local government employers.
In a preferred provider organization or PPO, a doctor or other health care provider contracts with an insurer to provide care at a discounted rate.
Preferred provider organizations - A PPO is a voluntary network of private physicians and hospitals that contract with insurance companies to provide a broad range of health care services.
The enrollment growth, premium charges, and market penetration of health maintenance organizations, preferred provider organizations, and point of service plans is also monitored in the 1992 Managed Care Yearbook.
Dental benefits were increased, and a $200 "incentive" was established for individuals using preferred provider organizations.
Most individuals opted for coverage through preferred provider organizations (60%), with others choosing HMOs (20%), point-of-service plans (13%), and conventional indemnity plans (3%).
This directory lists health maintenance organizations (HMOs), preferred provider organizations (PPOs), and point of service (POS) plans.
The number of preferred provider organizations (PPOs) in the U.S.
Part C, the program's most recent addition, allows beneficiaries to use a broad array of provider-sponsored plans, Medicare preferred provider organizations, private fee-for-service plans, and medical savings accounts.
The inclusion of Waigreens and its approximately 2,700 stores brings to 41,000 the total number of pharmacies in the network that serves health maintenance organizations and preferred provider organizations (PPOs).
Prepaid health care plans include HMOS, preferred provider organizations, eye care plans, dental care plans and similar arrangements.
Managed-care companies such as health maintenance organizations and preferred provider organizations must select and retain qualified physicians who will provide quality services to their sub scribers, according to Margolis & Co.

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