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Managed Care and Staff Model IPA Outsourcing

Managed Care and Staff Model IPA Outsourcing

IPAs are professional corporations that contract with independent physicians and other health care providers to create a medical panel of primary care and specialist physicians.  IPAs must be capable of providing the full range of medical services to individuals enrolled in health maintenance organization (HMO) managed care health plans.  Increasingly, IPAs are taking back control and bringing ancillary and specialty services in-house as a viable and profitable means of diversification.   

MedSource Partners, Inc. provides the management expertise to make in-house therapy services a reality.  Some benefits of exploring in-house services include:

Cost containment
Utilization control and integrated case management
Improved quality in the delivery of care
Marketability and branding benefits
Creates new profit centers

Outpatient rehabilitation departments

Physical therapy centers are becoming increasingly popular for the managed care organization looking to provide service and quality to its members.  Between access issues and increasing cash outlays, managed care organizations and IPAs are converting from the traditional no-risk model to a modified staff model approach.  

MedSource Partners, Inc. is a leading company initiating and managing outpatient therapy departments for the manage care and IPA industry.  In addition to the surprising value a rehabilitation program can bring to your members, there are revenue and branding benefits that MedSource can help your firm realize.  Specific benefits from an in-house program include:

Cost containment
Increased utilization control
Quality of care control
Marketability and network development
Specific programming opportunities

When contracting with MedSource, our firm's capabilities include:

  • Evaluating demographics and existing patient needs
  • Developing a financial pro-forma
  • Understanding utilization
  • Presenting the most cost-effective and profitable options
  • Providing complete pre-operational oversight
  • Implementing clinical guidelines
  • Assuring seamless integration through training
  • Providing long-term and ongoing management

Urgent care centers

We hear time and time again from small and large member medical groups that emergency room costs are escalating.  Considering a full or after hours self-managed urgent care center is proven to decrease ER visits.  MedSource’s partnership with your organization begins with evaluating your costs and utilization of non-life threatening hospital visits and creates a platform and financial model for a successful transition. 

Services can include:

  • Membership education
  • Community involvement and marketing strategy
  • Daily management of patient care
  • Policies and procedures development
  • City and State regulatory assurance
  • Financial pro-forma and budgeting
  • Recruitment assistance


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