Florida Insurance Claims Adjuster License Practice Exam

A selected group of hospitals and doctors in a given area who have joined together to reduce medical costs is known as:

1. A Professional Practitioner Group

2. An HMO

3. A Health Managed Hospital

4. A PPO

The correct answer is: A PPO

A A Professional Practitioner Group is a group of physicians who practice together as a group. They do not necessarily work together to reduce medical costs. B: An HMO, or Health Maintenance Organization, is a type of health insurance plan that typically requires members to select a primary care physician and receive referrals for specialty care. While they may negotiate reduced rates with providers, their primary focus is on managing patients' overall healthcare. C: A Health Managed Hospital is not a commonly used term. It is possible that this option may have been intended to be "Managed Care Organization," which is a type of health plan that contracts with healthcare providers to manage and reduce costs. However, this would still not be the most accurate answer. D: A PPO, or Preferred Provider Organization, is a type of health insurance plan that allows members to see providers outside of their network, but at a higher cost.