What does EPO mean?
EPO stands for “Exclusive Provider Organization.” This is a fairly new industry term, and in our case, we are using it to define our new commercial line of business that has the following features: • Closed panel — meaning you need to use participating providers to receive covered services unless you choose to use your Out-of-Plan benefit on the Open Option plan. • Participating providers hold no risk (capitation or withholds). Providence Health Plan pays participating providers a discounted fee-for-service payment instead.
