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One recent study of a PPO found that enrollees mediclne it for preventive care and healtb illnesses, but went outside the network about one-half just click for source time for specialty care and hospitalization without surgery Wouters and Hester, This suggests a dilemma for public policy in relation to encouraging PPOs: If the price for going outside the network is not punitive, enrollees will go outside for much of their care.

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