Industry Overview Generic Keywords: (What are these?) Knowledge Source, Healthcare Market, BusIntell, Reports, Medical, Information, HMO, Pharmacare, Diagnostic Publication Date: 01-MAR-03 Pages: 10 Format: PDF Price: $95.00 Delivery: Immediate Online Access
Description An estimated 113 million eligible employees were served by respondent medical/surgical and full-service PPOs in 2001, up from 111 million in 2000. The number of operating PPOs declined to 925 in 2001 from 988 the previous year. PPOs are similar to traditional health insurance because they provide a member with the freedom to choose a physician or other health care provider. In a PPO, the member is encouraged, through financial incentives, to use participating health care providers which have contracted with the PPO to provide services at favorable rates. In the event a member chooses not to use a participating provider, the member may be required to pay a greater portion of the provider's fees. Many PPOs have matured into originations that implement sophisticated care management techniques and monitor their members' health. Scroll to this section This is a section of the Full Report:
Preferred Provider Organizations (PPOs) Market Overview Publication Date: 01-MAR-03 Pages: 153 Format: PDF Price: $345.00 Delivery: Immediate Online Access

Description

Preferred Provider Organizations (PPOs) are growing at the expense of Health Maintenance Organizations (HMOs). An estimated 113 million eligible employees were served by respondent medical/surgical and full-service PPOs in 2001, up from 111 million in 2000. The number of operating PPOs declined to 925 in 2001 from 988 the previous year. PPOs are similar to traditional health insurance because they provide a member with the freedom to choose a physician or other health care provider. In a PPO, the member is encouraged, through financial incentives, to use participating health care providers which have contracted with the PPO to provide services at favorable rates. In the event a member chooses not to use a participating provider, the member may be required to pay a greater portion of the provider's fees. Many PPOs have matured into originations that implement sophisticated care management techniques and monitor their members' health. Knowledge Source's PPO Market Overview identifies the market trends and statistics as well as the major market participants.

Table of Contents

Industry Overview/Trends - pgs. 4-14 Aetna - pgs. 16-27 Beech Street - pgs. 28-30 Blue Cross Blue Shield Association - pgs. 31-34 California Foundation for Medical Care - pgs. 35-36 CCN/First Health - pgs. - 37-39 The Chandler Group - pgs. 40-42 CIGNA HealthCare - pgs. 43-51 CorVel - pgs. 52-57 Coventry Health Care - pgs. 58-64 Emergis Health Networks - pgs. 65-69 First Choice Health Networks - pgs. 70-72 Galaxy Health Network - pgs. 73-75 Great West Life & Annuity - pgs. 76-80 Group Health, Inc. - pgs. 81-84 Health Net - pgs. 85-92 The Health Payors Organization - pg. 93 Humana - pgs. 94-104 Integra Group - pgs. 105-106 MultiPlan - pgs. 107-112 PacifiCare Health Systems - pgs. 113-122 PlanVista Solutions - pgs. 123-125 ppoNEXT - pgs. 126-128 Preferred One - pg. 129 Private Healthcare Systems - pgs. 130-134 Provider Networks of America - pgs. 135-138 USA Managed Care - pgs. 139-142 Sources - pg. 152

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