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Preferred Provider Organizations
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Definition of 'Preferred Provider Organizations'

Arrangements negotiated between a third-party payer (often a self-insured company or union trust fund) and a group of health-care providers (hospitals and physicians) who furnish services at lower than usual fees, and, in return, receive prompt payment and an expectation of an increased volume of patients.

Common names: Preferred Provider Organizations; Preferred Provider Organization; Organizations, Preferred Provider; Organization, Preferred Provider

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Sunday, November 22, 2009

Quality of surveillance for stage I testis cancer in the community.

Aug 2009 PURPOSE: Patients with clinical stage I testicular germ cell tumors have been managed with adjuvant radiotherapy, chemotherapy, or retroperitoneal lymph node dissection (RPLND). The use of surveillance-only strategies at referral centers has yielded ... Read more...


A health insurance exchange: prototypes and design issues.

3 Jun 2009 Many reform proposals call for the creation of one or more health insurance exchanges, intermediaries that can help individuals or small employers navigate the insurance market. An exchange might be public or private, national or local. It might ... Read more...


Consumer-driven health plans: impact on utilization and expenditures for chronic disease sufferers.

29 Apr 2009 OBJECTIVES: The impact of consumer-driven health plans (CDHPs) on utilization and expenditures for members with chronic diseases. METHODS: Analyzed claims data from a national employer who switched from a preferred provider organization (PPO) plan ... Read more...

 

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Technical information about 'Preferred Provider Organizations'

Definition: Arrangements negotiated between a third-party payer (often a self-insured company or union trust fund) and a group of health-care providers (hospitals and physicians) who furnish services at lower than usual fees, and, in return, receive prompt payment and an expectation of an increased volume of patients.

Descriptor UI: D011243

Alternative terms: Preferred Provider Organizations; Preferred Provider Organization; Organizations, Preferred Provider; Organization, Preferred Provider;

Allowable Qualifiers: classification; economics; history; legislation & jurisprudence; manpower; organization & administration; standards; trends; utilization; statistics & numerical data; ethics;

Tree Number: N03.219.521.576.343.800.750; N04.590.374.410.750;

Online Note: use INSURANCE, HEALTH to search PREFERRED PROVIDER ORGANIZATIONS 1984

History Note: 91(85); was see under MANAGED CARE PROGRAMS 1990; was see under INSURANCE, HEALTH 1985-89; was see INSURANCE, HEALTH 1984

Technical Notes: specify geog if possible; DF: PPO

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