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Journal Article
Journal of Health Politics, Policy and Law (1 April 1989) 14 (2): 367–382.
Published: 01 April 1989
...Thomas Rice; Jon Gabel; Gregory de Lissovoy This paper reports the results of a national survey on employer experiences with preferred provider organizations (PPOs). The survey, conducted in 1987, included information from almost 700 telephone interviews with employee benefit managers. We found...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1986) 11 (2): 305–322.
Published: 01 April 1986
...Jon Gabel; Dan Ermann; Thomas Rice; Gregory de Lissovoy A new development in the restructuring of American health care is the dramatic growth of preferred provider organizations (PPOs). Based on a national telephone survey, this paper assesses the future direction of PPOs by examining segments of...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2016) 41 (4): 743–762.
Published: 01 August 2016
... preferred provider organization (PPO) plans, and the state Medicaid program fell short of its payment reform goals. Provider groups will not fully commit to population-based clinical models if they believe it will result in large reductions in fee-for-service revenue. The use of alternative payment models...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1988) 13 (2): 279–291.
Published: 01 April 1988
... commonplace. HMOs and especially PPOs are booming. Blue Shield and Blue Cross market share and market power are declining. We discuss why the insurance market has changed and conclude with thoughts on the future. Copyright © 1988 by Duke University Press 1988 References de Lissovoy , Gregory...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1993) 18 (1): 105–112.
Published: 01 February 1993
.... Government Printing Office. Woolhandler , S. , and D. Himmelstein. 1991 . The Deteriorating Administrative Efficiency of the U.S. Health Care System. New England Journal of Medicine 324 ( 18 ): 1253 -58. Wouter , A. V. 1990 . The Cost of Acute Outpatient Primary Care in a PPO. Medical...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1993) 18 (1): 75–103.
Published: 01 February 1993
... (sometimes by a marketing agent) with a designation that broadcast its unique feature. These new monikers included network model plans, preferred provider organizations (PPOs), primary care networks (PCNs), competitive medi- cal plans (CMPs), health insuring organizations (HIOs), triple-option...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1988) 13 (4): 683–704.
Published: 01 August 1988
...-Test Guidelines Split Hospitals, Physicians. 23 ( 36 ): 5 . AHA News. 1987d . IPAs Contract With Firm for Utilization Review. 23 ( 41 ): 37 . American Association of Preferred Provider Organizations. 1987 . PPO Executive Salary and Administrative Operations Survey. Washington, DC: AAPPO...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1997) 22 (5): 1133–1189.
Published: 01 October 1997
... Administration, Bureau of Health Professions. Hegner , Dick . 1994 . “Any Willing Provider” Laws: A Threat to the Managed Care Boom? State Health Notes 15 ( 180 ): 1 -2. Hellinger , Fred J. 1995a . Selection Bias in HMOs and PPOs: A Review of the Evidence. Inquiry 32 ( 2 ): 135 -142...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2007) 32 (2): 317–347.
Published: 01 April 2007
.../other_reports/100404_ptc_SH_comment.pdf . Harris, Milton, and Artur Raviv. 1981 . Allocation Mechanisms and the Design of Auctions. Econometrica 49 : 1477 -1499. HealthLeaders-Interstudy. 2005. Humana Announces Plans for Regional Medicare PPOs in Georgia, Alabama, South Carolina, and Tennessee. News...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1999) 24 (5): 1033–1043.
Published: 01 October 1999
... response to this problem has been to subdivide the man- aged care universe into a collage of competing acronyms: HMOs, pre- ferred provider organizations (PPOs), exclusive provider organizations (EPOs), and the like. This is the approach taken by Jonathan Weiner and Gregory de Lissovoy in their oft...
Journal Article
Journal of Health Politics, Policy and Law (1 October 1999) 24 (5): 1045–1049.
Published: 01 October 1999
... organizations (PPOs), and a host of other insurance arrangements under the managed care label, to result in a more efficient allocation of resources. Others predicted that these changes from the traditional indemnity insurance plans would lead to the denial of needed care and a reduction in the free- dom of...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1988) 13 (2): 223–225.
Published: 01 April 1988
... for the formation of preferred provider organizations (PPOs) and selective contracting plans. One: of the most dramatic changes has occurred in the insurance industry. In 1977, insurers paid the costs of the provider re- gardless of price or quantity of services delivered. Today, utilization...
Journal Article
Journal of Health Politics, Policy and Law (1 April 2007) 32 (2): 221–246.
Published: 01 April 2007
... . Packet distributed to Republican members of Congress, January 27 . Hurley, Robert E., B. C. Strunk, and J. S. White. 2004 . The Puzzling Popularity of the PPO. Health Affairs 23 ( 2 ): 56 -68. Kaiser Family Foundation. 2006. Tracking Medicare Health and Prescription Drug Plans: Monthly...
Journal Article
Journal of Health Politics, Policy and Law (1 August 2015) 40 (4): 669–688.
Published: 01 August 2015
... also expanding in response to both the ACA and market trends that emphasize paying for value instead of volume (Lewis et al. 2013 ). These commercial ACOs are layered onto existing HMO and preferred provider organization (PPO) products for specific populations, whereby financial incentives are tied to...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1989) 14 (4): 871–875.
Published: 01 August 1989
... Christopher Potter National Health Service: Five Myths and Janet Porter 34 1 PPOs: The Employer Perspective Thomas Rice, Jon Gabel, and Gregory de Lissovoy 367 Hospital Mergers and Antitrust: Erwin A. Blackstone and An Economic Analysis...
Journal Article
Journal of Health Politics, Policy and Law (1 August 1987) 12 (4): 723–739.
Published: 01 August 1987
.... 1986 . Hybrid HMOs, PPOs: The New Focus. Business and Health 4 : 20 -27. Gabel , J. , D. Ermann, T. Rice, and G. de Lissovoy. 1986 . The Emergence and Future of PPOs. Journal of Health Politics, Policy and Law 11 : 305 -22. Group Health Association of America, Inc., and American...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1990) 15 (3): 656–664.
Published: 01 June 1990
... weight of evidence to date suggests that these organizations lower costs with- out lowering quality, although continued research is needed to monitor their per- formance” (p. 108). Frech, in Health Cure in America, contrasts preferred provider organizations (PPOs) with HMOs in terms of quality...
Journal Article
Journal of Health Politics, Policy and Law (1 June 1983) 8 (3): 598–606.
Published: 01 June 1983
... arrangements. Insurers and providers will then compete to develop lower-cost plans and innovative financing and delivery arrangements, such as HMOs, preferred provider organizations (PPOs), and health care alliances. Pri va te-sect0r cost-conta in men t efforts As public policy has evolved in...
Journal Article
Journal of Health Politics, Policy and Law (1 February 1992) 17 (1): 3–24.
Published: 01 February 1992
... organizations (PPOs). In areas where there is the most competition among competing medical plans, working-age individuals have been shown to be sensitive to the health insurance premiums that they pay (Schuttinga et al. 1985; Long et al. 1988). But many observers This research was conducted...
Journal Article
Journal of Health Politics, Policy and Law (1 April 1994) 19 (2): 423–447.
Published: 01 April 1994
... organizations (PPOs) in order to obtain plan subscribers as patients. In exchange for price dis- counts and other concessions, hospitals that are awarded contracts become part of a plan’s provider network. Payers generally offer financial in- centives (e.g., reduced copayments and deductibles) to...