Managed Care Organizations Subspecialties



Exclusive Provider Organization:
This is a group of individual health care providers, or groups of health care providers, that have a written agreement with an insurer to give health insurance to people that subscribe. These medical specialists enter into a mutually beneficially relationship with an insurer. In exchange for lower rates, the medical providers will have a steady stream of business.
Health Maintenance Organization:
HMO is a type of managed care organization that offers a from of health care protection in the U.S. This is achieved through physicians, hospitals, and other medical service providers that have a contract with the HMO. There are different types of HMO's including staff model, group model, and network model.
Point of Service:
Point Of Service Plan is a kind of managed care medical health insurance system. People with POS plans don't make a choice about which service they will use until they decide. The idea here is lower medical costs in exchange for limited choice.
Preferred Provider Organization:
A PPO is a managed care health organization of physicians, hospitals and various other health care providers that have connected with an insurer or other administrator offer health care a lower rates to the clients. This is a subscription-based medical care plan. With this subscription clients enjoy a substantially reduced rate.