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Independent Physician Associations

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Independent Physician Associations

Independent Physician Associations (IPAs) are physician-led entity groups, made up of solo or small-group primary care and specialty physicians, who are usually tied to a specific geographic location. IPAs are designed to negotiate on behalf of their participating independent physicians, concerning the acquisition of new patients and patient reimbursements. IPAs contract with insurance companies, health management organizations (HMOs), accountable care organizations (ACOs), and even hospitals regarding modified fee-for-service or capitation payments. 

Independent Physician Associations

How Independent Physician Associations (IPAs) Win Together

By

Scott Hodgin

|

January 15, 2019

Today’s healthcare system is undergoing a complicated transformation, a regulatory restructuring of care coordination and payment reimbursement from fee-for-service (FFS) to value-based care. Payment models and care delivery systems are evolving, and independent physicians are being forced to reexamine their roles and sustainability in this modern approach to health care. With the help of...

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Value Based

Value-based Care vs Fee-for-Service

The healthcare industry is experiencing a transformation involving reimbursement payment models. The conventional fee-for-service (FFS) reimbursement model is slowly being replaced by the concept of value-based care, a reimbursement methodology that challenges the “volume-based care” associated with fee-for-service...

accountable-care-organization

ACOs vs HMOs: Here’s How They’re Different

Health systems and managed health care are inventions of the early 20th century, but it wasn’t until the early 1970s that Health Maintenance Organizations (HMOs) were defined as such and considered solutions for dangerously high healthcare costs. Although prevalent throughout the 1980s and 90s, HMOs for various reasons...

Value Based

Quality Over Quantity: What Value-based Care Means for Providers

The age of value-based healthcare is here, and the Centers for Medicare and Medicaid Services (CMS) has taken the lead in healthcare delivery and reimbursement reform. The strategy is driven by a three-part aim to offer better quality health, to improve patient healthcare experiences, and to deliver services at lower costs. CMS has designed an array of care programs and payment models that are meant to shift the focus of healthcare from volume-based care to value-based care, to change the mindset of providers in today’s healthcare system to focus on quality over quantity. However, this change is not a “light switch” type of adjustment, where providers can...