What is an IPA in insurance?

An independent physician association (IPA) is a business entity organized and owned by a network of independent physician practices for the purpose of reducing overhead or pursuing business ventures such as contracts with employers, accountable care organizations (ACO) and/or managed care organizations (MCOs).

What is the difference between IPA and HMO?

Independent Practice Association (IPA) — a type of health maintenance organization (HMO) in which individual practitioners see patients enrolled in the HMO but also treat their own patients who are not HMO participants. Compensation to the physician is based on either a per-patient fee or a discounted fee schedule.

How do IPAs get paid?

Under the HMO agreement outlined in the Medical Group Service Agreement (MSA), physicians will receive a monthly capitation payment for every member that selects them as their Primary Care Physician (PCP). The Capitation Payment which is made to the IPA by the 10th of each month is actually a “Net” Capitation Payment.

Is healthcare partners an IPA?

Healthcare Partners, IPA, has been active in the New York Metropolitan Area since 1996, and is now one of the largest physician-owned independent physician associations (IPA) in the Northeast. A contracted network of select referral physicians provides medical services for the majority of our health plan members.

What does IPA stand for insurance?

IPA stands for “Insurance Planning Associates”. How to abbreviate “Insurance Planning Associates”? “Insurance Planning Associates” can be abbreviated as IPA.

What is IPA in insurance terms?

Owner, Orange County Health & Life Insurance, An IPA is an “Independent Practice Association”… a group or association of doctors within a geographic region. So if you have a health plan through a specific IPA, it’s an HMO in that you receive all your care within that IPA and you generally have a PCP (primary care physician).

What does IPA stand for in medical?

IPA stands for independent practice association. An IPA is a medical partnership of doctors who practice in independent offices. The IPA may not necessarily have all the other services like X-Ray, special exams, MRI and laboratories.

Why choose an independent agent?

They work with multiple insurance carriers and are able to identify the strengths and weaknesses of each carrier’s policies. An independent agent will help you to choose the insurance carrier based on what matters to you the most, be it company’s rates, customer service or financial stability.