A type of managed care plan that is very similar to an HMO, except that it is operated by a group of doctors and hospitals. This plan is not available in most parts of the country.
Provider Sponsored Organization. Entity designed to capture covered lives through the integration of select hospital and physician providers across the entire continuum of care. Capable of accepting global capitation risk for Medicare beneficiaries through a direct contract with HCFA and able to provide 90% of care within the contracted entities. Requires state and/or federal approval similar to HMO licensing requirements. uality – The features of a product or service that are assessed on its ability to satisfy the stated or implied needs of the user, or consumer.
Entities established and operated by health care providers in which the substantial proportion of services are delivered through the sponsoring providers or affiliated providers. The BBA includes PSOs as a type coordinated care plan.
Protocol Supporting Organisation
See Provider-Sponsored Organization.
(Provider Sponsored Organization): A term used in Medicare reform legislation to define a providers sponsored health plan hat would be licensed to provide coverage of the Medicare benefits package.
(Provider Service Organization) An HMO which is owned and operated by the providers rather than an insurance company.
Provider-Sponsored Organizations
A Provider Sponsored Organization (PSO) is a federal designation given to physician and hospital groups which accept capitation for services rendered to enrolled Medicare members.
Provider Sponsored Organization. Groups of physicians and/or hospital(s) who organize to coordinate the delivery of a range of health care services to a defined population, or by directly contracting with a self-funded employer group or government program. A PSO may be structured in a variety of forms, including a physician-owned venture, a hospital or hospital system that owns physician practices, or a partnership between physicians and hospitals such as a physician hospital organization (PHO). PSOs are sometimes called provider service networks (PSN).
Provider Sponsored Organization. PSOs are similar to PPOs except that they are operated by a group of physicians and hospitals.
Provider Sponsored Organization. A managed care plan owned by doctors and hospitals. These plans contract with consumers and businesses to provide medical services. PSOs may also contract with the Health Care Financing Administration to provide services to Medicare beneficiaries.
Provider Sponsored Organization. A PSO is defined as a public or private entity established by health care providers, which provide a substantial proportion of health care items and services directly through affiliated providers who share, directly or indirectly, substantial financial risk.