PPO network convenience.
A key driver of PPO network penetration is convenience, that is, how easy it is for employees to use PPO
network providers. Convenience depends on the geographic proximity of PPO network providers to employees'
homes and workplaces, the ease of transportation to the provider's location, and the ease of billing and
reimbursement matters from the employee's perspective.
Convenience also relates to the ease of identifying PPO network providers. PPO health network provider
listings generally are available both in hard copy and online. Online listings tend to be more up-to-date
and probably are the easiest way for employees to identify in-network providers. Online listings also
provide maps and directions to providers' offices and enable employees to select providers based on area of
specialization, gender, language and other relevant factors.
PPO network discounts.
The discounts associated with PPO network health services can vary substantially, depending on the
network, the type of service and the geographic location of the provider. An experienced benefits
administrator should be able to find the best PPO network for an employer based on their needs and the
needs of their employees.
Deep network provider penetration and negotiated pricing discounts equal employer cost-savings.
To maximize PPO penetration and achieve deep pricing discounts for employers by making it simple, convenient
and cost effective for plan participants to use in-network providers.
IMA facilitates optimal PPO penetration and deep pricing discounts through its extensive
Provider Network. Primary and secondary network matches are based on workforce size, location and other
relevant factors. IMA negotiates pricing discounts with out-of-area network providers when possible.
Multi-location clients are connected with multiple networks, and network matches are routinely reviewed.
Plan participants choose from an extensive list of in-network health care providers and facilities
located in both urban and remote locations.
IMA provides educational resources and learning tools to familiarize participants with
Preferred Provider Organizations and how they can save money by using in-network providers.
• More than 85 PPOs available to clients.
• Primary & secondary client-network matching.
• In-network providers located in remote areas.
• Deep pricing discounts with in-network providers.
• Fee negotiation with out-of-area network providers.
• Online provider search capabilities.
Clients achieve significant cost savings through primary and secondary in-network pricing discounts and fee negotiations
with out-of-area network providers. Plan participants have convenient, broad access to excellent medical care no matter
where they are located. They understand PPOs and how to reduce their medical costs by using in-network providers.