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abbreviations week 3


CO-Pay patient's payment of a portion of the cost at the time the service is rendered
EPO exclusive provider organization
FMC foundation for medical care
HMO health maintenance organization
IPA independent or individual practice association
MCO managed care organization
PCP primary care physician
POS point of service
PPG physician provider group
PPO preferred provider organization
UR utilization review
PHP prepaid health plan
buffing physician's justifying the transfer of sick, high-cost patients to other physician's in a managed care plan
capitation system of payment used in which physician's and hospitals are paid a fixed per capita for ea. pt.
carve outs medical services not included with in the capitation rate as benefits of a managed care contract
Created by: susan.jones