What does a provider-specific plan (PSP) provide to enrollees?

What does a provider-specific plan (PSP) provide to enrollees?

• A. A broader network of providers
• B. Benefits through a narrow-network of the overall contracted network
• C. Limited access to health services
• D. Higher premiums without added benefits

Answer: (B)

A provider-specific plan (PSP) is designed to offer benefits to enrollees through a narrow network of providers who are specifically contracted by the plan. This type of plan limits the available healthcare providers to those who have agreed to certain terms and conditions, which typically enables the plan to offer lower costs and more tailored services to its members. Because enrollees are directed to use this select network, they often receive greater coordination of care within that specific group of providers. This structure allows the plan to control costs and improve the quality of care by having enrollees access a focused set of providers who are more likely to understand the specific requirements and protocols of the plan. While having a narrower network may seem restrictive, it allows for better management of patient care and resources, which can lead to improved outcomes. In contrast, the other options do not accurately capture the essence of a PSP. For instance, a broader network of providers typically characterizes more open or traditional insurance plans, while limited access to health services and higher premiums without added benefits do not align with the aims and benefits of a provider-specific plan, which focuses on cost-effectiveness and quality through a specialized network.

A provider-specific plan (PSP) is designed to offer benefits to enrollees through a narrow network of providers who are specifically contracted by the plan. This type of plan limits the available healthcare providers to those who have agreed to certain terms and conditions, which typically enables the plan to offer lower costs and more tailored services to its members. Because enrollees are directed to use this select network, they often receive greater coordination of care within that specific group of providers.

This structure allows the plan to control costs and improve the quality of care by having enrollees access a focused set of providers who are more likely to understand the specific requirements and protocols of the plan. While having a narrower network may seem restrictive, it allows for better management of patient care and resources, which can lead to improved outcomes.

In contrast, the other options do not accurately capture the essence of a PSP. For instance, a broader network of providers typically characterizes more open or traditional insurance plans, while limited access to health services and higher premiums without added benefits do not align with the aims and benefits of a provider-specific plan, which focuses on cost-effectiveness and quality through a specialized network.