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 Web References

  1. 1. AMNews: Nov. 5, 2001. Bigger doesn't necessarily pay better ... American Medical News
    www.ama-assn.org/sci-pubs/amne - [Cached]

    Published on: 11/5/2001   Last Visited: 1/3/2002

    "The 24 national managed care firms typically negotiate higher discounts than local firms do ... because the negotiating clout of larger companies means that they can negotiate steeper discounts," said Jason Brenden, InterStudy's new products manager.

    In addition to negotiating steeper discounts with physicians, PPOs run by national managed care companies typically have much broader networks than do small, local PPOs, said Brenden. Fifty percent of local PPOs have primary care physician networks between 1,000 and 9,999 doctors, while 56.5% of national PPOs have primary care physician networks of 100,000 to 199,999 doctors.

    The network numbers for national PPOs, however, include physicians in all of the national company's PPOs across the country, said Brenden, not just doctors in one market.

    PPOs becoming more popular

    InterStudy's analysis of the PPO industry also reveals that PPOs are growing in popularity, although, Brenden noted, the exact number of people enrolled in PPOs is difficult to pin down.

    The total number of covered lives reported by the PPOs is 140 million, but the actual number is probably closer to 105 million because PPOs are likely overestimating the number of dependents, he said. That's still more than the 79 million people who are enrolled in HMOs, say InterStudy data.

    In terms of analyzing the overall ranking of every PPO in a certain market, InterStudy factored in the size of each PPO's network, the estimated number of covered lives multiplied by a dependents factor, the number of claims processed and the number of employer contracts. That provides a truer picture of a PPO's market influence than simply calculating the number of covered lives, Brenden said.

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  2. 2. American Association of Preferred Provider Organiaztions
    www.aappo.org/newsroom/article - [Cached]

    Published on: 3/4/2001   Last Visited: 1/15/2006

    Kansans are part of a nationwide migration to looser forms of managed care, said Jason Brenden, new products manager for InterStudy Publications, a St. Paul, Minn., company that researches HMOs.

    Employers in today's tight labor market are looking to provide richer benefits and more choices, Brenden said.
  3. 3. American Association of Preferred Provider Organiaztions
    www.amho.org/newsroom/article_ - [Cached]

    Published on: 3/4/2001   Last Visited: 5/17/2003

    Kansans are part of a nationwide migration to looser forms of managed care, said Jason Brenden, new products manager for InterStudy Publications, a St. Paul, Minn., company that researches HMOs.

    Employers in today's tight labor market are looking to provide richer benefits and more choices, Brenden said.

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