PPO

What is PPO?

PPO is Preferred Provider Organization. A plan that contracts with independent providers at a discount for services. The panel is limited in size and usually has some type of utilization review system associated with it. A PPO may be risk bearing, like an insurance company, or may be non-risk bearing, like a physician-sponsored PPO that markets itself to insurance companies or self-insured companies via an access fee.

 

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