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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 ...
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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Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the use of their network (unlike the usual insurance with premiums and corresponding payments paid fully or partially by the insurance provider to the medical doctor).
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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 insurance does differ from other managed care plans.
The Utah Public Employees Disability Act created the long term disability program at PEHP, covering two-thirds of the disabled employee's salary. To address rising costs, a Preferred Provider Organization network was created and provider fees were lowered in exchange for driving volume. With the success of the PPO medical network, a new dental ...
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