preferred provider organization

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Related to Preferred-provider organization: health maintenance organization, Exclusive Provider 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

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 ?
Managed care - An all-encompassing term that generally includes health-maintenance organizations, preferred-provider organizations and provider-service organizations.
Preferred-provider organization members who are scheduled for one of about 90 types of surgery receive a free 3&minute audio tape or compact disc.
As exhibit 1, below, shows, the rate of increase slowed for all types of health coverage, including conventional plans, health maintenance organizations, preferred-provider organizations (PPOs) and point-of-service plans (which are PPOs with primary care physicians).
There are 40 health-maintenance organizations licensed to serve the state's population, and 48 preferred-provider organizations are registered (HMOs must be licensed by the Indiana Department of Insurance, while PPOs need only be registered).
A 1997 Texas law requires HMOs and preferred-provider organizations to pay clean claims--meaning they involve no potential disputes--within 45 days after receiving them.