What people are saying - Write a review
We haven't found any reviews in the usual places.
Design and Pricing of the PPO and EPO Products
11 other sections not shown
administrative affiliate agreement antitrust laws applicable authority basis cash claims clause commissioners contract corporate practice costs Court covered decision discount employer enforceable entity ERISA examination examiner-in-charge exempt Federal Trade Commission federally qualified HMO fiduciary freedom of choice funds group boycott health care services Health Maintenance Organizations health plan HMO's incentives insurance company insurance law issues J. C. Penney Company joint venture liability licensed limited liquidated damages mandated Medicare non-preferred providers Okla operations participating patient payer payment payors physicians political subdivision PPO enabling laws PPO or HMO preferred provider arrangements preferred provider organizations premium procedures prohibit provider panel public body public hospital regulations regulatory reimbursement requirements retiree risk Section specifically sponsor Stat statute Subsidiary Supp transactions U.S. Supreme Court ultra vires utilization review violation