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Understanding Medical Networks and IPA’s
By Dr. David Edward Marcinko; MBA CMP™
[Publisher-in-Chief]
In an attempt to increase market share and augment profits, some doctors contemplate forming Independent Physician Associations (IPAs).
IPA Benefits
Some of the benefits of IPAs include:
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Marketing, advertising and purchase advantages through economies of scale
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Network pays the MD/DO directly
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No need for individual MCO contract negotiations
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Patients and their cash flow streams are quickly available
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Collective group autonomy exists.
IPA Risks
On the other hand, IPA potential risks include:
The MD/DO is not capitated but the physician pool likely will be. This merely means that the per unit price of each medical intervention will likely decrease as individual doctors in the pool competed for its limited resources (managed competition).
Other risks include:
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Variable income due to the managed competition
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High 10-20% administrative fees payable in cash to IPA managers
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Reduced and discounted fee schedules
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Lost personal autonomy.
Insolvent IPAs
Obviously, signs of insolvent IPAs and related medical networks include:
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Delayed data entry
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Telephone or facsimile delays
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Slow payment schedules
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Poor expense tracking.
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Insufficient HIT, security and related software
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Sparse interest statements or financial information.
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
- PRACTICES: www.BusinessofMedicalPractice.com
- HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
- CLINICS: http://www.crcpress.com/product/isbn/9781439879900
- ADVISORS: www.CertifiedMedicalPlanner.org
- FINANCE: Financial Planning for Physicians and Advisors
- INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
- Dictionary of Health Economics and Finance
- Dictionary of Health Information Technology and Security
- Dictionary of Health Insurance and Managed Care
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Filed under: Managed Care | Tagged: Managed Care |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Docs Under Pressure to Remain Independent
In order to maintain their autonomy, independent physicians must look to new and innovative practice models that allow them to adapt to shifting market dynamics in the health care sector.
http://www.physiciansnews.com/2015/01/16/physicians-under-pressure-to-remain-independent/?utm_source=Copy+of+1.12.15&utm_campaign=11713&utm_medium=email
As the continued implementation of the Affordable Care Act sends ripples through the health care marketplace, a recent survey of dozens of independent physicians indicates that many doctors are nervously eyeing the landscape, unsure of their future.
Samuel
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