Why IPAs Choose to Remain Independent in Healthcare

How IPAs Create Value for Their Patients

IPAs are constantly rethinking their growth. IPAs may come in small sizes, but self-supporting organizations like them are versatile and can adapt to new changes throughout the continuum of care. Ever since value-based healthcare has gained popularity in the industry, they have remained competitive and have provided uncompromising care and services without fail. That is how they are still able to continue in the business despite an already very saturated market. Like any other healthcare organizations, IPAs can provide equally efficient and cost-effective care delivery personalized to each patient.



Operating Healthcare Businesses Independently

The advantages of IPAs lie in the fact that they are an authority in their own healthcare processes and business. They hold full accountability and autonomy, allowing them to run their operations according to their goals and ultimately as to how they see fit. Without orders from employer organizations dictating what they can and can’t do, they have total control over decisions, payments, and services.

Member benefits

As they are known, IPAs are a group of independent physicians which means they can offer ways on how to effectively come to an agreement with insurance companies and minimize  administrative duties like negotiating payer contracts for their members. They can do this all while maintaining their own practices.

 

Payer relations

Negotiating for contracting must be one of the most crucial benefits that comes out of choosing to be independent for IPAs. They make a deal for risk-bearing and capitated medical service agreements on behalf of their members. The same as how a health maintenance organization (HMO) works.

Coordinated care

IPAs can serve as the host for independent healthcare providers to implement coordination of care. IPAs can choose to provide the infrastructure they need for their practice. With the help of IPAs, they can coordinate care by consolidating, analyzing, and reporting quality data and successfully executing population health management strategies.

It’s difficult to give up control of your business. Seeing the liberties of being an independent entity, IPAs deliberately went against the norm to maintain their autonomy.

The IPA’s Most Trusted Administrative Platform

MedVision has been providing the healthcare organizations they support with a comprehensive management and administrative platform through QuickCap (QC7). QuickCap has been a leading solution to IPA firms for more than 20 years, giving them the flexibility and convenience in workflow ability deemed necessary to compete and succeed in managed care and ultimately in the healthcare industry.

With QuickCap’s diverse features and tools, IPAs can bring administrative duties to completion and manage reimbursement schemes with ease through some of the system’s capabilities to:

• Process claims administration in multiple file formats.
• Monitor population health with an extensive dashboard.
• Run different payment transactions and generate explanation of benefits (EOBs).
• Set up provider contracts based on the agreed contract.

Maintain independence with the help of QuickCap!



Reference:

Medical Economics. “IPAs: Joining Forces to Retain Independence.” www.medicaleconomics.com, April 1, 2015. https://www.medicaleconomics.com/view/ipas-joining-forces-retain-independence.

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