The Preferred Provider Organization

Posted on February 15, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

Understanding PPO’s

Dr. David Edward Marcinko; MBA CMP™

Publisher-in-Chief 

A preferred Provider Organization (PPO) is a bridge between traditional indemnity insurance and an HMO, and consists of several different types. It attempts to feature the provider choices seen in indemnity insurance, with the non-risk cost reductions seen in HMOs.  

PPO Variations 

Two similar entities, known as the Exclusive Provider Organization (EPO), and the Point of Service or Swing Out Plan (POS or SOP), consists of an exclusive provider panel who have agreed to accept a deep discount in their medical fees in return for the volume of patients the plans can provide to them.  

Assessment 

A combination of the above type models has been very successful for many employers, and this model is not as restricted by the HMO Act. 

A payment time-line for a typical PPO may look something like the following: 

Healthcare Provider bills PPO —> PPO bills company –> Company pays PPO —> PPO pays Provider 

Conclusion 

Which plan type above do you favor? 

More info: http://www.springerpub.com/prod.aspx?prod_id=23759 

Terms: www.HealthDictionarySeries.com 

Speaker: If you need a moderator or a speaker for an upcoming event, Dr. David Edward Marcinko; MBA – Editor and Publisher-in-Chief – is available for speaking engagements. Contact him at: MarcinkoAdvisors@msn.com

 

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About American Depository Receipts

Posted on February 15, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

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Physician Investing Basics

[By Julia O’Neal; MA, CPA]

caution

American Depository Receipts [ADRs] are shares of foreign stocks held by U.S. banks abroad that are sold on exchanges in the United States.

Often, foreign governments do not allow stocks to be sold to non-citizens, and ADRs allow U.S. investors to purchase foreign securities.  

ADRs usually exist on only the largest foreign publicly held companies, but their numbers are rapidly growing. They are traded in dollars, and dividends are paid in dollars. (Morningstar, Inc., in Chicago, publishes regular research reports on ADRs.) 

Assessment

Do you own ADRs, and why or why not? 

Conclusion

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