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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 ...
Open-access and point-of-service (POS) products are a combination of an HMO and traditional indemnity plan. The member(s) are not required to use a gatekeeper or obtain a referral before seeing a specialist. In that case, the traditional benefits are applicable. If the member uses a gatekeeper, the HMO benefits are applied.
A POS plan uses some of the features of each of the above plans. Members of a POS plan do not make a choice about which system to use until the service is being used. In terms of using such a plan, a POS plan has levels of progressively higher patient financial participation, as the patient moves away from the more managed features of the plan.
This will be mutually beneficial in theory as the PPO will be billed at the reduced rate when its insureds utilize the services of the "preferred" provider, and the provider will see an increase in its business as almost all insureds in the organization will only use providers who are members.
A 2002 survey found that 99.5% of enrollees of Health Maintenance Organization/Point Of Service (HMO/POS) plans are in plans that cover at least one disease management program. [9] A Mercer Consulting study indicated that the percentage of employer-sponsored health plans offering disease management programs grew to 58% in 2003, up from 41% in ...
Point of sale, location where payment is accepted; Point of service plan, a type of managed care health insurance plan in the US; Polytechnic Secondary School (Polytechnische Oberschule), the 10-year general educational system in East Germany; Priory of Sion, a fictitious secret society; Public open space, a planning term for an outdoor public ...
POC – Point of contact PIC – Person in charge PWIN – Percent win (a measure of performance of capture when bidding for contracts with a targeted customer base such as bidding for government contracts ) [ 13 ] [ 14 ]
List of initialisms, acronyms ("words made from parts of other words, pronounceable"), and other abbreviations used by the government and the military of the United States. Note that this list is intended to be specific to the United States government and military—other nations will have their own acronyms.