Skip to Main Content
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