The PCM also is the one who authorizes referrals for specialty care. Cost shares are less than under the other two options. Under this option, individuals do not enroll. They retain their freedom to choose any provider. It includes the government and patient cost-shares.
Enrollment is for one year.
Individuals must take action to re- enroll annually. Managed Care - System in which patients need not shop for their own care. PCMs act as patient advocates, monitoring all care, avoiding needless care and referring patients to economical care sources. Such systems negotiate discounts with providers. PPN members must meet the same professional standards as MTF providers.