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Author: Samuel J. Tibbitts
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 304
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Book Description
Author: Samuel J. Tibbitts
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 304
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Book Description
Author: Dale H. Cowan
Publisher: Aspen Publishers
ISBN:
Category : Business & Economics
Languages : en
Pages : 356
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Book Description
Author: Charlotte Kenton
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 12
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Book Description
Author: Joan B. Trauner
Publisher:
ISBN:
Category : Preferred provider organizations (Medical care)
Languages : en
Pages : 220
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Book Description
Author: American College of Hospital Administrators. Foundation
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Linda Krane Ellwein
Publisher:
ISBN:
Category : Delivery of Health Care -- trends
Languages : en
Pages : 0
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Book Description
Author: Elizabeth S. Rolph
Publisher:
ISBN: 9780833016812
Category : Employee fringe benefits
Languages : en
Pages : 157
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Book Description
This Note describes preferred provider organization (PPO) arrangements of employers in three different locales. For each of these case studies, the Note describes the context in which the PPO arrangement was constituted and first marketed, including the existing health care marketplace, the program objectives of the various PPO participants, and their initial negotiating efforts. It also examines the features tailored to attract the participating subscribers, payers, and providers, giving specific attention to the channeling incentives offered to attract subscribers and guarantee volume to providers. It also examines the discounting practices adopted to meet the cost-containment objectives of the payers. Finally, it explores the utilization review procedures--a second cost-containment device--for each case study. The findings suggest that the original PPO concept's distinct outlines are now blurring, and that it may still be too early to describe the PPO's ultimate shape and function.
Author: Paul B. Ginsburg
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 140
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Book Description
This Note outlines the research plan for RAND's Preferred Provider Organization (PPO) Study, which will analyze the experience of six large employers that have contracted with one or more PPOs to provide additional options for employees participating in the employers' health benefits plans. The research plan is designed to answer three broad questions: (1) What are the characteristics of employees who elect to enroll in the PPO plan, or use providers participating in the PPO? (2) What is the effect of PPOs on health services utilization and costs? (3) Do providers participating in PPOs practice differently from those declining to participate, or those not included in the PPO? The study will use econometric analysis, simulation, actuarial analysis, and case studies, and it will use four kinds of data: personnel records, surveys of employees, health insurance claims data, and a survey of physicians.
Author: Peter Boland
Publisher: Aspen Publishers
ISBN:
Category : Insurance, Health
Languages : en
Pages : 1148
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Book Description
This industry classic gives the perspectives of 107 distinguished expertsfrom the health care industry as well as the financial and legal worldswho evaluate the benefits and disadvantages of competitive health care practices and analyze the significance of PPOs to providers, payors, and purchasers. Their practical experience and breadth of knowledge offer a wealth of pragmatic advice about taking advantage of the changing market.
Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 70
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Book Description
