Provider Sponsored Network (PSN)

-
Provider Sponsored Network (PSN) A formal affiliations of providers, sometimes called "integrated delivery systems", organized and operated to provide an integrated network of health care providers with which third parties, such as insurance companies, HMOs, or other Health Plan Companies, may contract for health care services to covered individuals. Some models of integration include Physician Hospital Organizations, Management Service Organizations, Group Practices Without Walls, Medical Foundations, and Health Provider Cooperatives. PSNs contract with health plans, employers, and other group purchasers to provide healthcare services to their members. PSNs typically assume some level of financial risk for the care they provide, which means that they are responsible for making sure that their members receive high-quality care at a reasonable cost. PSNs are not the same as accountable care organizations (ACOs). ACOs are a type of healthcare provider organization that is also designed to improve quality of care and reduce costs. However, ACOs are typically larger than PSNs and may include a wider range of providers. Overall, PSNs are a promising new model for healthcare delivery. PSNs have the potential to improve the quality and affordability of healthcare for consumers. However, it is important to weigh the benefits and drawbacks of PSNs carefully before making a decision about whether to join one. #benewinsurance #insurtech #inclusiveinsurance #insurance #reinsurance #takaful

Comments

Post a Comment

Thank you for making this valuable comment.

Popular posts from this blog

Disability Appeal

-
Image
Disability Appeal A disability appeal in insurance is a process that allows a policyholder to challenge the denial of their disability insurance claim. If a policyholder's disability claim is denied, they will typically receive a denial letter from the insurance company. The denial letter will explain the reason for the denial and the policyholder's right to appeal. Here are some common reasons why disability insurance claims are denied: -The claim is not covered by the policy. -The policyholder has not met the definition of disability under the policy. -The policyholder has failed to provide sufficient evidence of their disability. -The policyholder has violated the terms of the policy. The insurance company will then review the appeal and make a decision. If the insurance company upholds the denial, the policyholder may have the option to file a lawsuit against the insurance company. Remember during an appeal you must show the court, through substantive evidence and w
Read more

Policyholder (Contract Holder)

-
Image
Policyholder (Contract Holder) A policyholder is the person who purchases and owns an insurance policy. The policyholder is responsible for paying the premiums and is entitled to the benefits of the policy. The policyholder may also be the insured person, but this is not always the case. For example, a parent may purchase a life insurance policy for their child, or a business owner may purchase a health insurance policy for their employees. For life insurance it's a little bit different. You may be the policyholder, but someone else may be the insured party. In addition, you will need to name one or several beneficiaries of the policy. In life insurance, the policyholder owns and controls the policy but is not always the insured. A wife can purchase a term life insurance policy with her husband as the insured and name her adult son and herself as the beneficiaries. As policyholder, she controls the life insurance policy. If her husband dies during the coverage period, the wif
Read more

Offset

-
Image
Offset An offset in insurance is a reduction in the amount of benefits that an insured person is entitled to receive because they are also receiving benefits from another source they receive. Offsets are most common in disability insurance and workers' compensation, but they can also be found in other types of insurance, such as life insurance and health insurance. Insurance companies are not prohibited from applying offsets this because if you were allowed to keep the full amount of all of the various disability benefits to which you might be entitled, it would be possible for you to earn more money on disability than you would by working. There are two main types of offsets: Income offsets: Income offsets reduce the amount of benefits that an insured person is entitled to receive by the amount of other income that they are receiving, such as Social Security Disability Insurance (SSDI) or workers' compensation. Expense offsets: Expense offsets reduce the amount of ben
Read more