Preferred Provider Organization Research Paper

The "Preferred Provider Organization" or PPO is the most popular types of plan that individual and families get for insurances. With this plan you can visit any in-network physician and/or healthcare’s providers without requiring a referral from a primary care physician. PPO is all about reducing the cost of care and claims processing, so therefore reducing the premium you to have to pay to the health insurance. The PPO can also be called” claims network”. PPO may not have copayment for doctor’s visit and prescription, and may not be for going to specific doctors and hospitals. PPO helps file out claims properly. PPO arrangement prevents, manager and/or operator approaches medical providers. Manager of the PPO fixed payments, make a contract,
and increase efficiency. The no-network also known as Indemnity plan allows you to direct your own healthcare. You can also pick and visit almost any doctor or hospital you want. The indemnity plan pays a portion of your payment. They are also referred to as “fee-for-service” plan. This plan cost the insurance more to operate. This plan may not help you fill out your claim, so most likely you will have to fill out your claim yourself. There are no claim network and because of that the insurer may still need to require precertification and operation management.