What is an IPA ?
An independent practice association (or IPA) is
an association of independent physicians
•The typical IPA encompasses all specialties, but an IPA can
be solely for primary care or may be single specialty
•Physicians
retain their practice's independent corporate status but become part of a
separate organization with other practices to enable them to contract as a
group to provide services to payers.
The Functions of an IPA :
Risk
contracting
•Negotiations
•Marketing
•Patient Navigators
•Referral services
•Case Management
•IT services
•Data services
•Purchasing
programs
–Clinical supplies
–Office supplies
–Health care
–Liability insurance
•Recruitment / Employment services
•Call coverage
•Billing and collections
Why an IPA ?
Participating
members will have an investment in their own future that can leverage
the collective power of all the practices
•Retain
patients by simplifying access for insurers and patients
•Reduce
practice costs
•Shared
operating cost for network management
•Allows
members to set own standards of care within framework of community expectation
•Establish
the IPA as a “branded” health service
The Advantages of an IPA :
Spreads
costs across members for organizing the delivery of care to payers
•The
IPA can contract with other existing networks
•It
represents members when establishing complex risk contracts with insurance
companies and self-insured companies
•Assembles,
credentials, and inspects member physicians, institutions and services
•Constructs
efficient central authorization and referral processes
•Establishes
primary care provider and specialist responsibilities for patient handoffs
•Member
physicians are involved with IPA’s own UR/QA
Why Physicians
Join HPP – Health Plans Path Corp., IPA.
·
HPP
IPA negotiating clout gets doctors fair reimbursement.
·
HPP
IPA helps de-mystify the insurance, State agency and Medicaid maze.
·
HPP
IPA negotiates with health insurance companies to minimize the hassle factor of
obtaining reimbursement and of dealing with varied carrier rules.
·
We
scrutinize reimbursement shifts, seeking fair compensation for delivering
proactive preventative medicine.
·
Our
educational efforts allow colleagues to stay abreast of treatment protocols.
·
We
fight harmful "consumer empowerment" agendas where payment is shifted
from employers and insurers toward the patient ~ putting physicians at risk of
non-payment.
We
effectively oppose laws that negatively impact patients and physicians.
Why HPP – Health Plans Path, Corp. ?
Health Plans Path, Corp., IPA Membership Provides Value-Added Benefits
- HPP's collaboration of
professionals seeks business-savvy ways to maximize income, control costs
(rent, salary, insurance), keep physicians informed, and doctor's skills
honed.
- Our combined efforts free
physicians to advocate for patients in the complex world of healthcare
delivery. The trust and faith patients have in physicians is critical to
optimal medical outcomes.
- We "translate" laws and
their impact on physician practice. Through collaboration we find
cost-effective solutions to meet legal requirements.
- HPP IPA, keeps physicians informed
quickly and efficiently via faxes, e-mails, eNewsletters, websites and
workshops.
- We give physicians the tools to
provide proactive preventative medicine ~ saving lives today from
tomorrow's diseases.
- We seek innovative ways for
physicians to communicate self-care information to patients.
- Health Plans Path, Corp. ( HPP ) IPA brings the
focus back to the physician-patient relationship.
HPP IPA targets innovation to ensure
physician success, your patients' health, and to provide the most
cost-effective services possible.
·
Electronic
Medical Records ~ HPP IPA's technology goal: getting the patient, the doctor,
and secure medical information in the same room at the same time, at the
point-of-care. This eliminates duplication of tests and prescriptions, and
assures timely and effective care.
·
HPP
IPA physicians provide leadership and patient advocacy in the business
community to address complex healthcare issues, the solutions to which must
include credible quality measures built on evidence-based medicine.
·
HPP
IPA evaluates emerging concepts of consumer choice, health savings accounts and
consumer-directed medical savings accounts. We support expanded consumer choice
but not compromised patient care.
For more details or information:
Contact: Marcos E. Silverio
Marcos Silverio
VP of Business Development
Phone: (407) 660-6664
Cellular: (985) 635-9047
mesilverio@hppcorp.com
