Physicians deeply rooted in community-based practices, intimately acquainted with the challenges and rewards of private practice, find themselves frustrated with the current state and apprehensive about the future of their profession. This sentiment largely stems from the escalating complexity and rapid evolution of requirements and regulations within the field of medical practice.
Benefits and Services
At a Glance
- Coordinate Patient Care Management
- Enhance Patient Care Analysis with MLTC & MAP programs
- Provide Guidance and Support for Effective Practice Management
- Implement a Broad Referral System
- Safeguard Practice Independence
- Offer Patients Optimal Care Strategies
- Stay Competitive in the Ever-Changing Healthcare Landscape
- Complimentary Membership
- Increased Capitation Rates
- Educational and Coding Seminars
- Monthly Meetings
- Direct Engagement with IPA Provider Relations Services
- Facilitator Between Practices and Insurers
- Enhanced RAF and HEDIS Performance
- Access to the Latest Healthcare Advancements
Our streamlined process includes delegated credentialing of provider members on behalf of the HMOs, minimizing paperwork and saving valuable physician time. Serving as a liaison between our members and HMOs, we expedite issue resolution and enhance communication with insurers.
‘Pride Medical IPA’ provides HMOs access to a diverse group of providers, facilitating coordination and dissemination of initiatives and programs. We serve as a central point for reporting and resolving issues and complaints, ensuring seamless communication with our providers.
As a physician association, our exclusive focus is on physicians and their practices. Members maintain complete control over patient rosters, practice management, and professional autonomy. In return, they gain our unwavering advocacy, support, consultancy, and the advantageous leverage of group negotiations.
Contractual Agreements with HMOs:
Establish contracts with HMOs sharing our commitment to high-quality medical care.
Offer improved reimbursement rates and exclusive participation in Surplus Sharing and Quality Improvement bonuses.
Members have the flexibility to opt for none, some, or all of our group contracts.
Streamlined Credentialing Process:
Perform delegated credentialing of provider members on behalf of HMOs.
Minimize paperwork, saving valuable physician time.
Act as a liaison between members and HMOs, expediting issue resolution and enhancing communication with insurers.
Access to Diverse Provider Network:
‘Pride Medical IPA’ provides HMOs with access to a diverse group of healthcare providers.
Facilitate coordination and dissemination of initiatives and programs among our members.
Serve as a central point for reporting and resolving issues and complaints, ensuring seamless communication with providers.
Physician-Focused Approach:
Exclusive focus on physicians and their practices as a physician association.
Members maintain complete control over patient rosters, practice management, and professional autonomy.
In return, members receive unwavering advocacy, support, consultancy, and advantageous leverage in group negotiations.