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A set of selected providers that furnish a comprehensive array of health care services to enrollees;
Explicit standards for selecting providers;
Formal utilization review and quality improvement programs;
An emphasis on preventive care; and
Financial incentives to encourage enrollees to use care efficiently.
Provider networks can be used to reduce costs by negotiating favorable fees from providers, selecting cost effective providers, and creating financial incentives for providers to practice more efficiently.[46]
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