Medigap preferred provider organizations: issues, implications, and early experience.
Date of Pub
Quinn, Elizabeth; Sing, Merrile; Swearingen, Gary
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
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