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Category - Rewards

In which managed care plan is the care provider formed by an insurance company, an employer, or a group of employers who negotiate discounted fees with networks of health care providers?
  1. POS
  2. PPOs
  3. POPs
  4. Staff model HMO
Explanation
Answer - B - In PPOs, the care provider is formed by an insurance company, an employer, or a group of employers who negotiate discounted fees with networks of health care providers.

Key Takeaway: In a preferred provider organization managed care plan (usually seen in the shortened form PPO), the care provider is formed by the employer, a group of employers, and/or an insurance company who work together to negotiate discounted fees with specific networks of health care providers.
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