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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 ...
The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations. [1] The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they ...
A PPO — or preferred provider organization — is a plan that allows you to choose from approved in-network providers and out-of-network providers, with services provided by those out-of-network ...
A point of service plan is a type of managed care health insurance plan in the United States. It combines characteristics of the health maintenance organization (HMO) and the preferred provider organization (PPO). [1] The POS is based on a managed care foundation—lower medical costs in exchange for more limited choice. But POS health ...
A person interested in a Regence Advantage plan may choose from several Health Maintenance Organization (HMO) and Preferred Provider (PPO) plans. Each plan has a network of hospitals, doctors, and ...
Preferred Provider Organization (PPO): In a PPO, a person benefits from the most significant cost-savings by choosing in-network providers, although they may also visit out-of-network providers ...
Most MA plans are managed care plans (e.g., Preferred Provider Organizations (PPO) or Health Maintenance Organizations (HMO)). Both types develop lists of providers ("networks") based on the provider's willingness to accept the plan's terms for fees and other matters.
Most preferred provider organization plans are open-network (those that are not are often described as exclusive provider organizations, or EPOs), as are point of service (POS) plans. The terms "open panel" and "closed panel" are sometimes used to describe which health care providers in a community have the opportunity to participate in a plan.