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  2. Preferred provider organization - Wikipedia

    en.wikipedia.org/.../Preferred_provider_organization

    A preferred provider organization is a subscription-based medical care arrangement. [ 1] A membership allows a substantial discount below the regularly charged rates of the designated professionals partnered with the organization. Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the ...

  3. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations. [1] The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they ...

  4. Health maintenance organization - Wikipedia

    en.wikipedia.org/.../Health_maintenance_organization

    It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. The US Health Maintenance Organization Act of 1973 required employers with 25 or more employees ...

  5. EmblemHealth - Wikipedia

    en.wikipedia.org/wiki/EmblemHealth

    It is a multi-billion-dollar organization with over 3 million members. [2] EmblemHealth was created in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). GHI and HIP had been operating as separate companies in the New York region since 1937 and 1947, respectively. [3]

  6. Express Scripts - Wikipedia

    en.wikipedia.org/wiki/Express_Scripts

    Sanus was a health maintenance organization and it merged with the General America Life Insurance preferred provider organization. [12] Sanus rapidly grew and by 1986 it had 200,000 clients and $100 million in revenue, operating in the St. Louis, Dallas, Fort Worth, Houston, and Washington, D.C. markets. It created a subsidiary called GenCare ...

  7. Point of service plan - Wikipedia

    en.wikipedia.org/wiki/Point_of_service_plan

    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]

  8. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    Fee-for-service. Fee-for-service ( FFS) is a payment model where services are unbundled and paid for separately. [ 1] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health ...

  9. Ethisphere Establishes Preferred Provider Relationship with ...

    www.aol.com/2012/10/26/ethisphere-establishes...

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