A review of the literature shows that physician-operated independent practice associations
are more miserly than commercial HMOs when it comes to the amount of medical service they deliver.
Independent practice association
- A loose affiliation of physicians that contracts as a group with multiple payers.
is a physician-centric integrated population health management company, which, together with its subsidiaries, including a Next Generation Accountable Care Organisation (NGACO), and its affiliated independent practice associations
(IPAs) and management services organisations (MSOs), are working to provide coordinated, outcomes-based high-quality medical care for patients, particularly senior patients and patients with multiple chronic conditions, in a cost-effective manner.
Don Crane, president and CEO of the Los Angeles-based CAPG, which describes itself on its website as "the leading association in the country representing physician organizations practicing capitated, coordinated care," with "close to 300 multispecialty medical groups and independent practice associations
(IPAs)" as members, says this: "Your IT folks will need to keep developing better data warehouses, and find ways to make IT more interoperable, and provide better informatics for stratifying populations of patients, and physicians, and managing care, and getting the right providers in place.
With more than 200 care locations throughout Orange and Los Angeles counties, MemorialCare Health System is a nonprofit, integrated delivery system that includes six top hospitals - Long Beach Memorial, Miller Children's & Women's Hospital Long Beach, Community Hospital Long Beach, Orange Coast Memorial Medical Center in Fountain Valley and Saddleback Memorial Medical Center in Laguna Hills and San Clemente; MemorialCare Medical Group; Greater Newport Physicians Independent Practice Association
(IPA); Seaside Health Plan; ambulatory surgery centers, imaging centers, urgent care centers and numerous outpatient health centers.
A more complex yet popular option is to join other small practices and providers in an independent practice association
. An IPA is a legal entity organized and directed by physicians to negotiate contracts with insurance companies on their behalf.
Networks can be independent practices linked via a management system such as a physician-hospital organization, management services organization, or an independent practice association
Earlier in his career, Peck was a practicing internist and rheumatologist for 12 years, during which time he served as president of a 150-physician multi-specialty Independent Practice Association
in Cleveland, Ohio.
Nurse practitioner and wound care specialist Jenny Phillips is working with the Manawatu Independent Practice Association
on the pilot project.
Managed care was defined as independent practice association
and preferred provider organization plans.
Divya Sharma, MD, MS, is the Medical Director at Central Oregon Independent Practice Association
and has an extensive background in the healthcare industry.
That having been said, the leaders of pioneering patient care organizations like Heritage Medical Systems, the Mount Auburn Cambridge Independent Practice Association
, Crystal Run Health Care, Steward Health Care Network, and Mission Point Health Partners, are plunging ahead, and skillfully combining vision and strategy with the intellectual and tactical flexibility to make adjustments as they go along.