- Title
- Medigap preferred provider organizations: issues, implications, and early experience.
- First Author
- Nelson, Lyle
- Date of Pub
- 1991 Summer
- Pages
- 87-97
- Volume
- 12
- Issue
- 4
- Other Authors
- Quinn, Elizabeth; Sing, Merrile; Swearingen, Gary
- Abstract
- The Health Care Financing Administration is sponsoring the Medicare Physician Preferred Provider Organization (PPO) Demonstration to assess the feasibility and desirability of including a PPO option under Medicare. Two sites are currently operational. At one site, Blue Cross and Blue Shield of Arizona is offering a PPO linked with a medigap insurance plan. This "medigap PPO" and its initial experience are described, and a preliminary assessment of the viability and effectiveness of medigap PPOs nationally is provided. Impediments to the development and effectiveness of medigap PPOs are identified and possible government actions discussed.
- Abstract Continued
- N/A
- MeSH
- Aged : Arizona : Blue Cross : Blue Shield : Consumer Participation/economics : Evaluation Studies : Human : Insurance Benefits : Medicare/organization & administration : Motivation : Pilot Projects : Preferred Provider Organizations/organization & administration : Socioeconomic Factors : Support, U.S. Gov't, Non-P.H.S. : United States
- NTIS Number
- PB2001-105731
