What is an IPA and Why HPP ~ Health Plans Path, Corp.

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