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  2. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    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 ...

  3. From PPO to HMO, what's the difference between the 5 most ...

    www.aol.com/news/ppo-hmo-whats-difference...

    As insurance premiums have surged, families with employer-sponsored health care plans have paid nearly 5% of their total earnings over a 32-year period, according to a 2024 report investigating ...

  4. California Department of Managed Health Care - Wikipedia

    en.wikipedia.org/wiki/California_Department_of...

    However, not all health plans operating in California are under the jurisdiction of the DMHC; for example, some preferred provider organizations are regulated by the California Department of Insurance (CDI). Two state-based health insurance regulators is unusual in the United States, and has led to various additional work to synchronize laws. [3]

  5. Medical Board of California - Wikipedia

    en.wikipedia.org/wiki/Medical_Board_of_California

    The Medical Board of California (MBC) is a state government agency which licenses and disciplines physicians, surgeons and certain allied healthcare professionals in California. The Board provides two principal types of services to consumers: (1) public-record information about California-licensed physicians, and (2) investigation of complaints ...

  6. PPO and HMO Medicare Advantage plans: What to know - AOL

    www.aol.com/difference-between-hmo-ppo-030400853...

    HMO plans also require a referral to see a specialist, but PPO plans do not. HMO plans do not usually offer out-of-network coverage. PPO plans may provide out-of-network coverage but at a higher cost.

  7. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    by health care providers on prescriptions (however, the NPI will not replace requirements for the DEA number or state license number); by health plans in their internal provider files to process transactions and communicate with health care providers; by health plans to coordinate benefits with other health plans;

  8. Professional licensure in the United States - Wikipedia

    en.wikipedia.org/wiki/Professional_licensure_in...

    The State of Illinois requires four exams to become a nail stylist. [5] On the other hand, there are states which do not license potentially dangerous professions such as radiologic technicians, despite their delivering ionizing radiation to the general public. This is an example of a less-standardized licensure that is part of the licensing ...

  9. Healthcare in California - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_California

    A single-payer health care system for California has been suggested multiple times. Two bills in the California State Legislature that would have implemented universal health coverage were vetoed by Governor Arnold Schwarzenegger in 2006 and 2008, respectively.