The litigation exposures posed by preferred provider organizations.
Preferred provider organizations (PPOs), which are designed to help contain ever-increasing employee health-care costs, are being eyed favorably by benefits administrators who want to hold down both these costs and the cost of health insurance premiums. But there's a fly in this ointment: According to Anthony M. Vienna (an attorney with the firm of Zobrist, Vienna, & McCullough), such PPOs can place employers at risk of litigation arising from anti-trust violations and medical malpractice. Some types of PPOs pose greater risks than others, however. Vienna explores the nature and degree of risk entailed by three: provider-based PPOs, payor-based PPOs, and interface PPOs.
D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D008318:Malpractice / Q000331:legislation & jurisprudence; D011243:Preferred Provider Organizations / Q000331:legislation & jurisprudence*; D014481:United States; D014485:United States Federal Trade Commission