-
meps.ahrq.gov/survey_comp/ic_survey/2023/meps11s.pdf
January 01, 2023 - Report "in-network" deductibles (if applicable). … FORM MEPS-11(S)
IN-NETWORK PAYMENTS
§>
%
? … IN-NETWORK PAYMENTS – Continued
9
d. … out-of-network care? … OUT-OF-NETWORK DEDUCTIBLES AND PAYMENTS - Continued
Question 31
For an out-of-network provider, how
-
meps.ahrq.gov/survey_comp/ic_ques_glossary.shtml
January 01, 2019 - Participants are covered when they seek care from out-of-network providers,
but at reduced coverage … PREFERRED ("IN-NETWORK"/PARTICIPATING) PROVIDER -
A medical provider (doctor, hospital, pharmacy … ) who is a member of a health plan's network. … POS plans resemble HMOs for in-network services. … who is a member of a health
plan's network.
-
meps.ahrq.gov/survey_comp/ic_survey/2022/meps11s.pdf
January 01, 2022 - Report "in-network" deductibles (if applicable). … Report for an admission at an "in-network"/participating
hospital (if applicable). … Report for an "in-network"/participating specialist,
excluding preventive care visits.
a. … Report “in-network” maximum out-of-pocket
expense (if applicable). … $ .00
Out-of-network family
annual deductible
For an out-of-network provider, how much
and/or
-
meps.ahrq.gov/survey_comp/ic_ques_glossary.pdf
January 01, 2017 - plans)
POINT-OF-SERVICE PLAN (POS) (Also called open-ended HMO OR HMO/PPO hybrid)
PREFERRED ("IN-NETWORK … Participants are covered when they seek care from out-of-network providers,
but at reduced coverage … is a member of a health plan’s network. … POS plans resemble HMOs for
in-network services. … is a member of a health plan's network.
-
meps.ahrq.gov/data_files/publications/st29/stat29.pdf
January 01, 2001 - • Managed care plans, which either require employees to use a certain network of providers
or have … PPO) plans allow enrollees to go to any provider, but
there is a cost incentive to use a particular network … any provider plans may go to providers of their choice with no cost
incentives to use a particular network
-
meps.ahrq.gov/data_files/publications/st344/draft/stat344.shtml
October 01, 2011 - Exclusive provider plan
A plan offering coverage through a network of selected health care providers … and no coverage for care received from a non-network provider except in an emergency. … Preferred (mixed) provider plan
A plan offering coverage through a network of selected health care … The enrollees may go outside the network, but pay a larger portion of the costs.
-
meps.ahrq.gov/data_files/publications/st344/stat344.shtml
October 01, 2011 - Exclusive provider plan
A plan offering coverage through a network of selected health care providers … and no coverage for care received from a non-network provider except in an emergency. … Preferred (mixed) provider plan
A plan offering coverage through a network of selected health care … The enrollees may go outside the network, but pay a larger portion of the costs.
-
meps.ahrq.gov/data_files/publications/st344/stat344.pdf
October 01, 2011 - Exclusive provider plan
A plan offering coverage through a network of selected health care providers … and no
coverage for care received from a non-network provider except in an emergency. … Preferred (mixed) provider plan
A plan offering coverage through a network of selected health care providers … The
enrollees may go outside the network, but pay a larger portion of the costs.
-
meps.ahrq.gov/data_files/publications/st502/stat502.pdf
April 01, 2017 - Nearly 20 percent
had a USC provider that practiced in what was described as "a physician network owned … USC was an
independent practice (84.5 percent) compared to USC patients whose USC was a physician network … Medical Expenditure Panel Survey, 2015
54.7
19.3 17.0
9.1
0
50
100
Independent practice Physician network … Panel Survey, 2015
90.3
84.5
97.2 96.9 97.1
0
50
100
Overall Independent
practice
Physician network
-
meps.ahrq.gov/data_files/publications/st502/stat502.shtml
April 01, 2017 - Nearly 20 percent had a USC provider that practiced in what was described as "a physician network owned … whose USC was an independent practice (84.5 percent) compared to USC patients whose USC was a physician network … visited among persons who saw their usual source of care, 2015
Independent practice
Physician network … among persons who saw their usual source of care, 2015
Overall
Independent practice
Physician network
-
meps.ahrq.gov/survey_comp/ic_survey/1998/meps10s.pdf
January 01, 1998 - 3. 1 Yes104
2 No
1 Yes104
2 No
For plans with multiple options, answer for the "in-network"
option. … Report deductibles for care received "in-network"
from preferred providers, if applicable. … Report the copayment for an "in-network"/participating
general practitioner during normal office hours … Report for stays at "in-network"/participating
hospitals (if applicable).
-
meps.ahrq.gov/data_files/publications/st29/stat29.shtml
January 01, 2003 - Managed care plans, which either require employees to use a certain network of providers or have financial … PPO) plans allow enrollees to go to any provider, but there is a cost incentive to use a particular network … any provider plans may go to providers of their choice with no cost incentives to use a particular network
-
meps.ahrq.gov/data_files/publications/st29/draft/stat29.shtml
January 01, 2003 - Managed care plans, which either require employees to use a certain network of providers or have financial … PPO) plans allow enrollees to go to any provider, but there is a cost incentive to use a particular network … any provider plans may go to providers of their choice with no cost incentives to use a particular network
-
meps.ahrq.gov/data_files/publications/st29/sb29.xml
January 01, 2001 - Managed care plans, which either require employees to use a certain network of providers or have financial … PPO) plans allow enrollees to go to any provider, but there is a cost incentive to use a particular network … provider plans may go to providers of their choice with no cost incentives to use a particular network
-
meps.ahrq.gov/data_files/publications/cb7/cb7.pdf
September 01, 2001 - such as a health maintenance organization, in which enrollees must use providers from the specified
network … of physicians and hospitals to receive coverage; there is no coverage for care received from a non-network … plan, such as a preferred provider organization, where coverage is provided to enrollees through a network … selected health care providers (such as hospitals and physicians).The enrollees may go outside the network … The plan does not have a network of
health care providers associated with it.
-
meps.ahrq.gov/data_files/publications/st523/stat523.shtml
July 01, 2019 - A lower percentage of adults with a USC that was part of a physician network owned by a hospital had … Practice attributes
A lower percentage of adults with a USC that is part of a physician network owned … sources of care by four main types of practices, 2016
Distribution of visits
Overall
Physician network
-
meps.ahrq.gov/data_files/publications/cb7/cb7.shtml
October 01, 2001 - The plan does not have a specific network of health insurance providers associated with it. … of physicians and hospitals to receive coverage; there is no coverage for care received from a non-network … The enrollees may go outside the network, but they would pay a greater percentage of the cost of the … coverage than if they stayed within the network. … The plan does not have a network of health care providers associated with it.
-
meps.ahrq.gov/communication/census_announce.shtml
July 01, 2007 - available to qualified
researchers through the Federal Statistical Research Data Centers (FSRDC) network
-
meps.ahrq.gov/data_files/publications/st523/stat523.pdf
July 01, 2019 - A lower percentage of adults with a USC that
was part of a physician network owned by a
hospital had … Practice attributes
A lower percentage of adults with a USC that is part of a physician network owned
-
meps.ahrq.gov/data_files/publications/st390/stat390.shtml
November 01, 2012 - the co-pay and/or coinsurance for an office visit to a physician and specifically reports for an "in-network … the co-pay and/or coinsurance for an office visit to a physician and specifically reports for an "in-network