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

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 ?
But they can all be categorized into four basic groups: traditional indemnity or fee-for-service plans, preferred provider organizations (PPO), point-of-service plans (POS) or health maintenance organizations (HMO).
Both plans include a traditional health coverage component, a preferred provider organization, to protect against large expenses.
An example of behind-the-scenes politicking that directly affected me: There was an effort to start a preferred provider organization, sponsored by the hospital, and since I had responsibility for quality assurance and utilization management by virtue of being the VPMA, it seemed appropriate to the hospital that I be the Medical Director for the PPO.
UPMC is giving employer groups the choice to renew existing medically underwritten plans or choose any of the similar plans in the UPMC preferred provider organization portfolio.
* Carlyle Group, a global private-equity firm, said in March it plans to acquire MultiPlan Inc., the largest independent preferred provider organization in the United States.
For the second consecutive year, Cigna's open access-type health plans, which include Cigna's Preferred Provider Organization (PPO) and Open Access Plus (OAP) health plans, are the top-ranked among similar plans in Illinois, according to National Committee for Quality Assurance s (NCQA s) Private Health Insurance Plan Rankings 2013-2014.
managed care companies, with its health maintenance organization, point-of-service, insured preferred provider organization and government contract units providing health benefits to about 6.4 million people in 27 states and the District of Columbia through group, individual, Medicare, Medicaid and Tricare programs.
Cigna's open access-type health plans, which include Cigna's Preferred Provider Organization (PPO) and Open Access Plus (OAP) health plans are the top-ranked among similar plans in Illinois, according to National Committee for Quality Assurance s (NCQA s) Private Health Insurance Plan Rankings 2012-2013.
1, 2006, the Blues plans, as part of the Blue Cross Blue Shield Northern Plains Alliance, would offer regional Medicare Advantage preferred provider organization health plans and Medicare prescription drug plans to Medicare beneficiaries, pending federal approval, the Minnesota Blues said.
Other existing versions of managed care include the health maintenance organization (HMO), preferred provider organization (PPO), and independent practice association (IPA).
The Lehigh Valley Business Coalition on Health Care (LVBCHC) has named Cigna's Preferred Provider Organization (PPO) plan a Gold plan in their first-ever health plan score card, released to the Coalition s health care purchaser members in late August.
The company offers a host of dental products, including everything from capitated dental programs, or dental health maintenance organizations, to preferred provider organization products and standard indemnity programs.

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