Question

multiple choice question

a ______ is a managed care plan in which a network of providers supplies discounted treatment for plan members.

• provider care network
• point-of-service plan
• preferred provider organization
• health maintenance organization

Explanation:

Analyze the question prompt

Using the Managed Care Plans knowledge point
The question asks to identify a managed care plan where a network of providers supplies discounted treatment for plan members.

Evaluate the options

Using the Health Maintenance Organization and Point-of-Service Plans knowledge points

• "provider care network" is a general term, not a specific type of managed care plan.
• A Health Maintenance Organization (HMO) usually requires members to use a strict network and obtain referrals from a primary care physician, often operating on capitation rather than simple discounted fee-for-service.
• A Point-of-Service Plans (POS) plan combines elements of HMOs and PPOs, requiring a primary care physician but allowing out-of-network care at higher costs.
• A Preferred Provider Organization (PPO) is a managed care plan where a network of healthcare providers agrees to provide services at discounted rates to plan members. Members do not typically need a referral to see specialists.

Select the correct option

The definition perfectly matches a Preferred Provider Organization (PPO).

Answer:

• provider care network
• point-of-service plan
• preferred provider organization (Correct answer)
• health maintenance organization