Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Questioning assumptions about preferred provider arrangements.

P Boland

    Inquiry : a Journal of Medical Care Organization, Provision and Financing
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Molecular profiling of sacral chordomas through methylation, spatial transcriptomics and multiplexed immunofluorescence.

    ESMO rare cancers·2026
    Same author

    Technical and functional design considerations for a real-world interpretable AI solution for NIR perfusion analysis (including cancer).

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2024
    Same author

    The impact of in-service physical injury or illness on the mental health of military veterans.

    BMJ military health·2021
    Same author

    The sacral chordoma margin.

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2020
    Same author

    Atypical femur fractures associated with use of bisphosphonates and denosumab.

    Annals of oncology : official journal of the European Society for Medical Oncology·2015
    Same author

    A pathway to empowerment: evaluating a cancer education and support programme in New Zealand.

    European journal of cancer care·2014
    Same journal

    Associations of Caregiver-Reported Unmet Needs and Burden-Related Indicators With Excellent Well-Being: A Cross-Sectional Study.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    "Easy Life or Chaos?": Older Adults' Digital Experiences, Well-Being, and Patterns of Engagement: A Qualitative Study.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    The Lived Experiences of Young People With Disabilities in Accessing Sexual and Reproductive Health Services in Ethiopia: An Interpretative Phenomenological Analysis.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Research Trends in Medical Teachers' Digital Literacy: A Bibliometric Analysis.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.

    Inquiry : a journal of medical care organization, provision and financing·2026
    Same journal

    Fundamental Values in Nursing Care: The Person's Perspective.

    Inquiry : a journal of medical care organization, provision and financing·2026
    See all related articles

    Understanding assumptions in preferred provider organization (PPO) contracting is crucial. This analysis reveals common PPO assumptions by providers, insurers, and purchasers that current systems have not validated.

    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Health Economics

    Background:

    • Negotiations for healthcare services involve parties with differing priorities.
    • Understanding participant assumptions in preferred provider organization (PPO) contracting is vital for the business of healthcare delivery, consumption, and payment.

    Purpose of the Study:

    • To identify and discuss common assumptions made by providers, insurers, and purchasers in PPO contracting.
    • To evaluate whether these assumptions align with the operational realities of current PPOs and alternative healthcare delivery systems.

    Main Methods:

    • Qualitative analysis of common assumptions in PPO contracting.
    • Review of experiences from existing PPOs and alternative healthcare delivery models.

    Related Experiment Videos

    Main Results:

    • Identified 11 prevalent assumptions regarding PPOs.
    • Found that these common assumptions have not been supported by the experiences of current PPOs and alternative systems.

    Conclusions:

    • Commonly held assumptions in PPO contracting by stakeholders (providers, insurers, purchasers) are frequently inaccurate.
    • The gap between PPO assumptions and real-world experience necessitates a re-evaluation of contracting strategies in healthcare delivery.