PPO Operations and Markets

Publication Date: February 2000

Publisher: Henry J. Kaiser Family Foundation

Author(s):

Research Area: Health

Type: Report

Coverage: United States

Abstract:

PPO Operations and Markets, prepared by InterStudy Publications with the support of the Kaiser Family Foundation provides information about Preferred Provider Organizations (PPOs), including the key differences between PPOs and other health plan types.

The report is based on in-person interviews with 25 executives PPOs and written survey responses from 19 of their respective firms, representing as much as 80 percent of the PPO industry. The report also provides information on the different services offered by PPOs; savings from use of discounted providers; and PPO use of managed care activities such as financial incentives for patients to use network providers and prior approvals for care.