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Out-of-network care is not provided, and visits require pre-authorization. Doctors are paid as a function of care provided, as opposed to a health maintenance organization (HMO). Also, the payment scheme is usually fee for service , in contrast to HMOs in which the healthcare provider is paid by capitation and receives a monthly fee, regardless ...
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 patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.
GHI – originally named Group Health Association of New York – was established in 1937 to provide New York's working families access to medical services. [4] [5] This new health care model was built around a network of participating providers and was a precursor to today's preferred provider organization (PPO). [5] [6]
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Health information technology (HIT) is health technology, particularly information technology, applied to health and health care. It supports health information management across computerized systems and the secure exchange of health information between consumers , providers , payers , and quality monitors. [ 1 ]
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The Independent Healthcare Providers Network (IHPN), formerly known as the NHS Partners Network, is a representative body for independent sector healthcare providers in the United Kingdom. The body was formed in 2005 to provide a voice for private health companies, and was initially made up of organisations involved in the government's ...