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Preferred provider organization information


In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's clients.

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Preferred provider organization

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insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a...

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Managed care

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a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations. The growth of managed care in the U.S. was spurred...

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Health maintenance organization

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independent, third-party provider of medical services. Capitated reimbursement Exclusive provider network Preferred provider organization Publicly funded health...

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GEHA

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offers traditional fee-for-service medical plan options with a preferred provider organization (PPO) along with a high deductible health plan (HDHP) that...

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Exclusive provider organization

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the early 1980s. Patient Protection and Affordable Care Act Preferred provider organization Davis, Elizabeth. "EPO Health Insurance—How It Compares to...

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Accountable care organization

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An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of...

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AmeriHealth

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AmeriHealth New Jersey offers nationwide coverage through PHCS, a Preferred Provider Organization (PPO). The company offers insurance through AmeriHealth's wellness...

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PPO

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Political Parties Order, 2002, a chief executive order in Pakistan Preferred provider organization, a type of health insurance plan Toray Pan Pacific Open, a...

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Point of service plan

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combines characteristics of the health maintenance organization (HMO) and the preferred provider organization (PPO). The POS is based on a managed care foundation—lower...

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Dental insurance

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United States, Participating Provider Network or PPO, also referred to as Preferred Provider Organization, is an organization governed by medical doctors...

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Health insurance in the United States

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non-network provider, generally at a lower benefit level to encourage the use of network providers. Most preferred provider organization plans are open-network...

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Aultman Hospital

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and 530 active physicians in 43 specialties. Aultman runs a Preferred Provider Organization, AultCare. Aultman Hospital has been the recipient of several...

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CorVel Corporation

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funding from the name sale, CorVel began building a national preferred provider organization (PPO). During the mid '90s, CorVel doubled its office network...

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Blue Cross Blue Shield Association

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BCBSA company to offer nationwide insurance coverage through it's BlueCard provider network and claims reimbursement program even though it operates only in...

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Health Insurance Portability and Accountability Act

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healthcare professional (HMO), preferred provider organization (PPO), government agency (Medicaid, Medicare etc.) or any organization that may be contracted by...

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Independent practice association

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not relieve a care provider from all of the administrative duties of running a medical practice or other care delivery organization. Also, some IPAs may...

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Hawaii Medical Service Association

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variety of health plans, including Preferred Provider Organization (PPO) plans and Health Maintenance Organization (HMO) plans. HMSA offers plans through...

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Iowa

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source of data on enrollment in health maintenance organization (HMO), preferred provider organization (PPO), point-of-service (POS) and consumer-driven...

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Healthcare in the United States

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[citation needed] Self-policing of providers by providers is a major part of oversight. Many healthcare organizations also voluntarily submit to inspection...

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Medicaid

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financial security and provides economic benefits to states and health providers. Beginning in the 1980s, many states received waivers from the federal...

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Concentra

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Managed Care MCOTooltip Managed care organization and Focus Healthcare Management PPOTooltip Preferred provider organization. It alleged that Concentra and...

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Tom Cusick

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During this time, Cusick also formed The Preferred Health Arrangement, a Preferred Provider Organization and National Stop Loss Associates, a broker...

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Insurance policy

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managed care arrangement such as a Health Maintenance Organization or Preferred Provider Organization (PPO). Jackets - The term has several distinct and...

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Accreditation Association for Ambulatory Health Care

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well as health plans, such as health maintenance organizations and preferred provider organizations.: 550  AAAHC has been granted "deemed status" to certify...

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Express Scripts

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was a health maintenance organization and it merged with the General America Life Insurance preferred provider organization. Sanus rapidly grew and by...

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Military Health System

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maintenance organization-like option called CHAMPUS Prime that required enrollment and offered better benefits and low-cost shares, a preferred provider organization-like...

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Tricare

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cost sharing, a preferred provider organization-like option called Tricare (CHAMPUS) Extra that required use of network providers in exchange for lower cost...

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