PPOs to Challenge HMOs for Medicare Business as Patients Are Given More Choice Under New Legislation.PacifiCare Will Compete With Kaiser for Managed Medicare Lives in CaliforniaHealthLeaders- InterStudy, the managed care business of Decision Resources, Inc., finds that as new Medicare legislation comes into effect, HMOs will be challenged for their Medicare business by PPOs. Prior to the Medicare Modernization Act, PPOs were mostly unavailable to Medicare beneficiaries. Under the new legislation, however, Medicare patients will have an expanded opportunity to enroll in PPOs, which are becoming more popular because of the flexibility and greater provider choice they offer to patients. Because of this new legislation, firms like PacifiCare that offer PPOs that bear risk will challenge Kaiser for managed Medicare lives in California. "According to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. information in our Competitive Edge Managed Care Regional Market Analysis, Kaiser Foundation The mission of the Kaiser Foundation is to assist individuals and communities in preventing and reducing the harm associated with problem substance use and addictive behaviours. External links
HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, lives," says Lance Wolkenbrod, program manager for HealthLeaders-InterStudy. "Because Kaiser does not offer PPO PPO abbr. preferred provider organization PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there products, we expect firms like PacifiCare to vie for more of the managed Medicare market as they offer PPO coverage to Medicare beneficiaries." About Competitive Edge Managed Care Regional Market Analysis HealthLeaders-InterStudy's Managed Care Regional Market Analysis, Part 3 of the Competitive Edge report series, provides detailed information on HMO and PPO enrollment and market penetration Noun 1. market penetration - the extent to which a product is recognized and bought by customers in a particular market penetration - the act of entering into or through something; "the penetration of upper management by women" in 391 MSAs nationwide. It examines the market structure and dynamics of metropolitan managed care markets and includes key benchmarks that allow users to compare general market information to data about a specific location. About HealthLeaders-InterStudy HealthLeaders-InterStudy is the new managed care business of Decision Resources, Inc., offering data, directories, news, and analyses of the ever- evolving managed care industry. By identifying important trends and influences such as health plan demographics, key market events, major health care organization alliances, and impending legislation, HealthLeaders-InterStudy products serve as comprehensive information tools to help executives stay abreast of market dynamics in the health care industry. For InterStudy products, please visit http://www.interstudypublications.com/. For HealthLeaders products, please visit http://www.healthleaders.com/. About Decision Resources Decision Resources, Inc., (http://www.decisionresources.com/) is a world leader in research publications, advisory services advisory services advisory services provided to the public, in their capacity as owners and managers of animals, are an important part of veterinary science. They may be provided by government bureaux, by commercial companies who deal in pharmaceuticals or animals or animal , and consulting designed to help clients shape strategy, allocate resources, and master their chosen markets. For more information, contact: Frank Sama HealthLeaders-InterStudy 781-296-2553 fsama@dresources.com CONTACT: Frank Sama of HealthLeaders-InterStudy, +1-781-296-2553, fsama@dresources.com Web site: http://www.interstudypublications.com/ http://www.healthleaders.com/ http://www.decisionresources.com/ |
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