PremierMD IPA Healthcare

About PremierMD IPA Healthcare

Reimbursement is moving from volume-based fee-for-service to value-based contracting, rewarding doctors for providing quality over quantity when it comes to delivering care. PremierMD IPA Healthcare obtains performance-based commercial contracts for its participants under the premise that cost savings and improved patient care outcomes will be rewarded by a performance bonus. We do not manage the physician practices, but the physicians agree to see patients under certain metrics which provide the opportunity for shared savings above and beyond their current fee-for-service rates and/or increased billing charges based on performance. Our model actively represents practices on behalf of the network with single signature power and the contracting functionality is a by-product to support the mission of clinical integration. The key function of our clinically integrated network of primary care physicians and specialists is to maximize performance as an active and productive Quality and Utilization Management Program that measurably affects patient care costs and outcomes. Together, with the combined efforts of all our participants and the comprehensive coordination of care, we can provide the highest level of quality and cost-effective medical service to patients of our community. PremierMD IPA Healthcare works with commercial health plans to achieve fair and competitive performance-based contracts for physician providers as well as supportive provider relations. By entering into one contract with PremierMD IPA Healthcare, we are able to maintain a single credentials file for each physician while the physician gains access to multiple payor contracts. Additionally, the commercial insurance company or payor can execute one contract with PremierMD IPA Healthcare enabling access to the credentialed physicians who participate in the IPA, thus ensuring that we have fair and balanced contracts with payors that result in a win-win situation for all parties.

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