Preferred Provider Organizations (PPOs)
Exam Questions and Answers (Solved
Papers)
Managed-Care Arrangement - Correct Answers ✅A
selected group of independent hospitals and medical
practitioners in the area, such as state, agrees to provide a
range of services at a prearranged cost
Organizer or Contracting Organization Can be from - Correct
Answers ✅-Large employers
-Trade unions
-Blue Cross/Blue Shield groups
-Traditional insurance companies
-Local groups of hospitals
Purpose - Correct Answers ✅Contracting with doctors,
hospitals, and other provider groups, such as physical
therapists
Contract is usually between the network and the provider
No case where an individual employee will be a part of a PPO
contract
Organizers and Providers Agree - Correct Answers ✅On
medical fees that are lower than those charge to patients not
associated with the PPO
Providers are willing to agree in return for guarantee payment
from the PPO, and sometimes an increase in the number of
patients
Exam Questions and Answers (Solved
Papers)
Managed-Care Arrangement - Correct Answers ✅A
selected group of independent hospitals and medical
practitioners in the area, such as state, agrees to provide a
range of services at a prearranged cost
Organizer or Contracting Organization Can be from - Correct
Answers ✅-Large employers
-Trade unions
-Blue Cross/Blue Shield groups
-Traditional insurance companies
-Local groups of hospitals
Purpose - Correct Answers ✅Contracting with doctors,
hospitals, and other provider groups, such as physical
therapists
Contract is usually between the network and the provider
No case where an individual employee will be a part of a PPO
contract
Organizers and Providers Agree - Correct Answers ✅On
medical fees that are lower than those charge to patients not
associated with the PPO
Providers are willing to agree in return for guarantee payment
from the PPO, and sometimes an increase in the number of
patients
