{"id":"https://openalex.org/W2993880418","doi":null,"title":"Combating silent PPOs.","display_name":"Combating silent PPOs.","publication_year":1998,"publication_date":"1998-02-01","ids":{"openalex":"https://openalex.org/W2993880418","mag":"2993880418","pmid":"https://pubmed.ncbi.nlm.nih.gov/10176448"},"language":"en","primary_location":{"id":"pmid:10176448","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10176448","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare financial management : journal of the Healthcare Financial Management Association","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024303549","display_name":"J E Belt","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J E Belt","raw_affiliation_strings":["Jennings Ryan and Kolb, Atlanta, GA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jennings Ryan and Kolb, Atlanta, GA, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044392669","display_name":"Ryan Jb","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J B Ryan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.54928983,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"52","issue":"2","first_page":"44","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/contract-language","display_name":"contract language","score":0.5440000295639038},{"id":"https://openalex.org/keywords/healthcare-financial-management","display_name":"healthcare financial management","score":0.75}],"concepts":[{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.7205080986022949},{"id":"https://openalex.org/C199776023","wikidata":"https://www.wikidata.org/wiki/Q202875","display_name":"Negotiation","level":2,"score":0.6835112571716309},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.6702860593795776},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.4583415985107422},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.42822033166885376},{"id":"https://openalex.org/C68799949","wikidata":"https://www.wikidata.org/wiki/Q977871","display_name":"Insurance policy","level":2,"score":0.4232298731803894},{"id":"https://openalex.org/C108827166","wikidata":"https://www.wikidata.org/wiki/Q175975","display_name":"Internet privacy","level":1,"score":0.3993675410747528},{"id":"https://openalex.org/C112698675","wikidata":"https://www.wikidata.org/wiki/Q37038","display_name":"Advertising","level":1,"score":0.3596305251121521},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.3478691279888153},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.3154216408729553},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.17265108227729797},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.10218197107315063},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.09618887305259705},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003284","descriptor_name":"Contract Services","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004991","descriptor_name":"Ethics, Institutional","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005249","descriptor_name":"Fees and Charges","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005376","descriptor_name":"Financial Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D011243","descriptor_name":"Preferred Provider Organizations","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011243","descriptor_name":"Preferred Provider Organizations","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017008","descriptor_name":"Negotiating","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018854","descriptor_name":"Managed Competition","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:10176448","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10176448","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare financial management : journal of the Healthcare Financial Management Association","raw_type":"Journal Article"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/911456","doi":null,"is_oa":false,"landing_page_url":"http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Combating+Silent+PPOs&title=Healthcare+Financial+Management+&volume=52&issue=2&spage=44-45&date=1998-02&au=Belt,+Judith+E.;+Ryan,+J.+Bruce","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:186900","raw_type":null},{"id":"mag:2993880418","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10176448","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.5683000087738037,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2424959317","https://openalex.org/W2435471421","https://openalex.org/W2433584936","https://openalex.org/W2141493257","https://openalex.org/W2410952421","https://openalex.org/W145981680","https://openalex.org/W2502789812","https://openalex.org/W2464920753","https://openalex.org/W2937961182","https://openalex.org/W2419342218"],"abstract_inverted_index":{"A":[0],"silent":[1,45,54,115],"PPO":[2,116,130,143],"is":[3],"a":[4,56,79,90,114,118],"contracting":[5],"entity":[6],"that":[7,70,109],"negotiates":[8],"discounts":[9,17,77,127],"with":[10,73,81],"providers":[11,103],"but":[12],"sells":[13],"access":[14,74],"to":[15,18,26,41,63,75,98,137],"the":[16,30,42,76,82,86,95,100,111],"other,":[19],"nonrelated":[20,31],"parties":[21],"after":[22],"services":[23,135],"are":[24],"provided":[25,136],"individuals":[27,139],"covered":[28],"by":[29],"parties'":[32],"insurance":[33,92],"policies.":[34],"Healthcare":[35],"financial":[36],"managers":[37],"should":[38],"be":[39],"alert":[40],"presence":[43,84,112],"of":[44,85,102,113,121],"PPOs":[46],"when":[47],"entering":[48],"into":[49],"contract":[50,67,80],"negotiations.":[51],"To":[52],"combat":[53],"PPOs,":[55],"two-pronged":[57],"approach--prevention":[58],"and":[59,94],"detection--is":[60],"advisable.":[61],"Factors":[62],"consider":[64],"include":[65,117],"appropriate":[66],"language":[68],"stating":[69],"all":[71],"clients":[72],"have":[78],"PPO,":[83],"PPO's":[87,96],"logo":[88],"on":[89],"patient's":[91],"card,":[93],"willingness":[97],"limit":[99],"number":[101],"in":[104],"its":[105],"network.":[106],"Warning":[107],"signs":[108],"indicate":[110],"high":[119],"volume":[120],"retroactive":[122],"reclassifications,":[123],"single":[124,138],"employers":[125],"taking":[126],"from":[128,141],"multiple":[129,142],"networks,":[131],"or":[132],"payments":[133],"for":[134],"coming":[140],"networks.":[144]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-12-13T00:00:00"}