Boland P
Inquiry. 1985 Summer;22(2):132-41.
The parties in any negotiation to contract for health care services delivered by a preferred provider organization (PPO) represent often divergent views and priorities. The assumptions of each participant in a PPO contracting process need to be thoroughly understood because of their impact on the subsequent business of providing, consuming, and paying for medical services. This article discusses 11 of the most common assumptions about PPOs made by providers, insurers, and purchasers. These assumptions have not been borne out to date by the experience of current PPOs and other alternative health care delivery systems.
在就由优选医疗机构（PPO）提供的医疗保健服务签订合同的任何谈判中，各方代表的观点和优先事项往往存在分歧。由于PPO签约过程中每个参与者的假设会对后续医疗服务的提供、消费和支付业务产生影响，因此需要彻底了解这些假设。本文讨论了医疗服务提供者、保险公司和购买者对PPO的11个最常见假设。目前的PPO和其他替代医疗保健提供系统的经验至今尚未证实这些假设。
