Independent Practice Associations
Capitation Fee
Health Maintenance Organizations
Managed Care Programs
Group Practice, Prepaid
Economics, Medical
Physician Incentive Plans
Group Practice
Fee-for-Service Plans
United States
Financial incentives and drug spending in managed care. (1/47)
This study estimates the impact of patient financial incentives on the use and cost of prescription drugs in the context of differing physician payment mechanisms. A large data set was developed that covers persons in managed care who pay varying levels of cost sharing and whose physicians are compensated under two different models: independent practice association (IPA)-model and network-model health maintenance organizations (HMOs). Our results indicate that higher patient copayments for prescription drugs are associated with lower drug spending in IPA models (in which physicians are not at risk for drug costs) but have little effect in network models (in which physicians bear financial risk for all prescribing behavior). (+info)Cost-effectiveness of sumatriptan in a managed care population. (2/47)
We conducted an open-labeled study to determine whether sumatriptan is more cost-effective than other therapies used to treat migraine headache. We contacted by phone 220 sumatriptan users enrolled in QualMed, a health maintenance organization (HMO) in Spokane, Washington. Of these, 203 met the inclusion criteria and 164 (81%) completed our telephone survey. The main outcome measures were healthcare costs to the HMO and number of days free of migraine-related disability before and after sumatriptan treatment. Before sumatriptan treatment, 89% of patients reported severe migraine, compared with 63% after sumatriptan treatment. The number of monthly migraine disability days decreased from 6.5 days per month before sumatriptan to 3.9 days per month after sumatriptan. Healthcare utilization rates (ie, number of hospitalizations, emergency department visits) and costs were lower after the patients began taking sumatriptan. The number of different over-the-counter medicines and prescription medications (other than sumatriptan) taken for migraine disabilities decreased. Although total drug expenditures per month increased, the total migraine healthcare expenditure was 41% lower after sumatriptan was initiated. The cost-effectiveness ratio was 47% more favorable after patients started taking sumatriptan. Overall, patients reported fewer migraine-related disabilities, had lower migraine severity scores, and used fewer healthcare resources when taking sumatriptan. These changes resulted in a better cost-effectiveness ratio for migraine treatment. (+info)The impact of physician economic incentives on admission rates of patients with ambulatory sensitive conditions: an analysis comparing two managed care structures and indemnity insurance. (3/47)
The utilization of financial incentives to limit the use of health resources by primary care physicians represents a common reimbursement strategy by managed care organizations. These arrangements are virtually nonexistent with indemnity insurance. This analysis compares the hospitalization rates of patients with low-acuity medical conditions--ambulatory sensitive conditions (ASCs)--among three groups receiving care from primary care physicians. The physicians were compensated under different reimbursement mechanisms, in which incentives for reduced resource utilization varied. The groups can be described as follows: (1) a capitated for-profit group practice in which the physician partners have a relatively high economic incentive for lower utilization (group I); (2) physicians providing care under the auspices of three separate independent practice associations, in which the associations are capitated but the physicians are paid on a discounted fee-for-service basis (the associations also were included in this group) (group II); and (3) physicians who service patients whose care continues to be paid for by traditional indemnity insurance (group III). Financial incentives in the third group cohort were believed to be low to intermediate, and the physicians were assumed to have had no economic incentives to restrain their use of healthcare resources. Additional data analysis examined the role of emergency department utilization among patients in the groups. Group I patients ages 25 to 44 were admitted for ambulatory sensitive conditions at a significantly lower rate than were patients in groups II or III--0.8/1,000, 2.7/1,000, and 2.9/1,000, respectively. No difference was apparent in admission rates between patients in groups II and III. Overall emergency department utilization rates were lowest in the group I capitated panel (70/1,000), much higher in the group II independent practice association panel (363/1,000) and highest in the group III indemnity panel (466/1,000). Each of these rates was significantly different from the other. Both the ED utilization rate and ambulatory sensitive condition admission rate may have been affected by differences in socioeconomic status among the patient panels in the three groups. The overall effect of this variable on the two admission rates could not be isolated. (+info)Variations in primary care physician referral rates. (4/47)
OBJECTIVE: To examine primary care physician referral rate variations, including their extent and their stability over time and across diagnostic categories. DATA SOURCES: 1995/1996 claims data for adult patients from a large Independent Practitioner Association (IPA) model managed care organization (MCO) in the Rochester, NY metropolitan area. The IPA includes over 95 percent of area primary care physicians (PCPs), and the MCO includes over 50 percent area residents. STUDY DESIGN: Referral rates (patients referred to and seen by specialists one or more times/patients seen by PCP/year) were developed for the PCPs (457 general practitioners, family physicians, and internists) in the MCO, including observed referral rates, expected referral rates based on case-mix adjustment across the whole sample, physician-specific case mix-adjusted referral rates (empirical Bayes estimates), and diagnostic category-specific case mix-adjusted referral rates. PRINCIPAL FINDINGS: Wide variations in observed referral rates (0.01-0.69 patients referred/patients seen/year) were attenuated relatively little by case-mix adjustment and persisted in case mix-adjusted empirical Bayes estimates (0.02-0.65). The year-to-year case mix-adjusted referral rate correlation was .90. Correlations of case mix adjusted-referral rates across diagnostic categories were moderate (r=.46-.67). CONCLUSIONS: PCP referral rates exhibit wide variations that are independent of case mix, remain stable over time, and are generalizable across diagnostic categories. Understanding this physician practice variation and its relationship to costs and outcomes is critical to evaluating the effect of current efforts to reduce PCP referral rates. (+info)Medical records and privacy: empirical effects of legislation. (5/47)
OBJECTIVE: To determine the effects of state legislation requiring patient informed consent prior to medical record abstraction by external researchers for a specific study. DATA SOURCES/STUDY SETTING: Informed consent responses obtained from November 1997 through April 1998 from members of a Minnesota-based IPA model health plan. STUDY DESIGN: Descriptive case study of consent to gain access to medical records for a pharmaco-epidemiologic study of seizures associated with use of a pain medication that was conducted as part of the FDA's post-marketing safety surveillance program to evaluate adverse events associated with approved drugs. DATA COLLECTION: The informed consent process approved by an institutional review board consisted of three phases: (1) a letter from the health plan's medical director requesting participation, (2) a second mailing to nonrespondents, and (3) a follow-up telephone call to nonrespondents. PRINCIPAL FINDINGS: Of 140 Minnesota health plan members asked to participate in the medical records study, 52 percent (73) responded and 19 percent (26) returned a signed consent form authorizing access to their records for the study. For 132 study subjects enrolled in five other health plans in states where study-specific consent was not required, health care providers granted access to patient medical records for 93 percent (123) of the members. CONCLUSION: Legislation requiring patient informed consent to gain access to medical records for a specific research study was associated with low participation and increased time to complete that observational study. Efforts to protect patient privacy may come into conflict with the ability to produce timely and valid research to safeguard and improve public health. (+info)No exit? The effect of health status on dissatisfaction and disenrollment from health plans. (6/47)
OBJECTIVE: To examine the implications of serious and chronic health problems on the willingness of enrollees to switch health plans if they are dissatisfied with their current arrangements. DATA SOURCE: A large (20,283 respondents) survey of employees of three national corporations committed to the model of managed competition, with substantial enrollment in four types of health plans: fee-for-service, prepaid group practice, independent practice associations, and point-of-service plans. STUDY DESIGN: A set of logistic regression models are estimated to determine the probability of disenrollment, if dissatisfied, controlling for the influence on satisfaction and disenrollment of age, race, education, family income and size, gender, marital status, mental health status, pregnancy, duration of employment and enrollment in the plan, number of alternative plans, and HMO penetration in the local market. Separate coefficients are estimated for enrollees with and without significant physical health problems. Additional models are estimated to test for the influence of selection effects as well as alternative measures of dissatisfaction and health problems. DATA COLLECTION: Data were collected through a mailed survey with a response rate of 63.5 percent; comparisons to a subsample administered by telephone showed few differences. PRINCIPAL FINDINGS: In group/staff model HMOs and point-of-service plans, only 12-17 percent of the chronically ill enrollees who were so dissatisfied when surveyed that they intended to disenroll actually left their plan in the next open enrollment period. This compared to 25-29 percent of the healthy enrollees in these same plans, who reported this level of dissatisfaction and 58-63 percent of the enrollees under fee-for-service insurance. CONCLUSIONS: Switching plans appears to be significantly limited for enrollees with serious health problems, the very enrollees who will be best informed about the ability of their health plan to provide adequate medical care. These effects are most pronounced in plans that have exclusive contracts with providers. We conclude that disenrollment provides only weak safeguards on quality for the sickest enrollees and that reported levels of dissatisfaction and disenrollment represent inaccurate signals of plan performance. (+info)The impact of relational activities on HMO organizational outcomes. (7/47)
OBJECTIVE: To report the findings of an empirical study of health maintenance organization (HMO) organizational outcomes and relational activities in HMO-pharmaceutical manufacturer relations. STUDY DESIGN: A mailed survey of a national random sample of 273 HMOs. SUBJECTS AND METHODS: Data were obtained from 111 HMOs regarding their inter-organizational relations with a pharmaceutical manufacturer. Respondents reported on 3 relational activities (initiating behavior, flexibility, bidirectional communication) and 4 HMO organizational outcomes (long-term orientation, equity in sharing costs and benefits, commitment between partners, financial performance). Also, 3 control variables were assessed: number of enrolled beneficiaries, HMO type, and estimated annual acquisition costs of pharmaceuticals. Four multiple regression analyses were performed, each with one organizational outcome variable as the dependent variable. Measures of relational activities and the control variables were the independent variables in the regressions. RESULTS: The response rate was 40.7%. All 3 relational activities showed significant associations with HMO organizational outcomes. Two relational activities (bidirectional communication, initiating behavior) showed significant and positive associations with a long-term orientation. Independent practice association (IPA)-model HMOs were less likely to report a long-term orientation toward a pharmaceutical manufacturer than other types of HMOs (adjusted R2 = 0.40). Bidirectional communication and flexibility were significantly and positively associated with the equity of costs and benefits (adjusted R2 = 0.29). Commitment had significant positive associations with all 3 relational activities (adjusted R2 = 0.50). All 3 relational activities had significant positive associations with financial performance. HMOs with an annual acquisition cost > $2 million were less likely to report favorable financial performance associated with a pharmaceutical manufacturer than were HMOs with lower costs (adjusted R2 = 0.42). CONCLUSION: Relational activities, such as initiating behavior, flexibility, and bidirectional communication, can facilitate positive outcomes for HMOs. It is important for all parties interested in healthcare to recognize that managing care creates a tension between achieving patient outcomes and organizational outcomes. (+info)Do quality report cards play a role in HMOs' contracting practices? Evidence from New York State. (8/47)
OBJECTIVE: To answer two related questions: (1) Do managed care organizations (MCOs) in New York State (NYS) consider quality when they choose cardiac surgeons? (2) Do they use information about risk-adjusted mortality rates (RAMR) provided in the New York State Cardiac Surgery Reports? DATA SOURCES: (1) Telephone interviews with and contracting data from the majority of MCOs licensed in NYS; (2) RAMR, quality outlier designation, and procedure volume for all cardiac surgeons, as reported in the Cardiac Surgery Reports. STUDY DESIGN: Interview data were analyzed in conjunction with patterns revealed by contracting data. Null hypotheses that MCOs' contracting choices were random with respect to the information published in the Cardiac Surgery Reports were tested. PRINCIPAL FINDINGS: Sixty percent of MCOs ranked the quality of surgeons as most important in their contracting considerations. Although 64 percent of MCOs indicated some knowledge of the NYS Cardiac Surgery Reports, only 20 percent indicated that the reports were a major factor in their contracting decision. Analyses of actual contracting patterns show that in aggregate, the hypothesis of random choice could be rejected with respect to high-quality outlier status and high procedure volume but not for RAMR or poor-quality outlier status. The panel composition of the majority of MCOs (80.2 percent) was within two standard deviations of the expected mean under the null hypothesis. CONCLUSIONS: Despite a professed preference for high-quality surgeons, the use of publicly available quality reports by MCOs is currently low, and contracting practices for the majority of MCOs do not indicate a systematic selection either for or against surgeons based on their reported mortality scores. This study suggests that policy initiatives to increase the effective use of report cards should be encouraged. (+info)An Independent Practice Association (IPA) is a type of legal and administrative structure in the US healthcare system. It is an association made up of independent physicians and other healthcare professionals who come together to coordinate healthcare delivery and negotiate contracts with health insurance plans, Medicare Advantage plans, and other managed care organizations.
In an IPA model, the participating providers maintain their independence and autonomy while benefiting from economies of scale, shared resources, and improved bargaining power. The IPA typically provides administrative services such as claims processing, utilization review, quality improvement, and practice management support to its members. By pooling resources and expertise, IPAs aim to enhance the quality of care, increase efficiency, and reduce healthcare costs for both providers and patients.
It is important to note that IPAs are not responsible for direct patient care but rather serve as intermediaries between healthcare providers and insurance networks.
A capitation fee is a payment model in healthcare systems where physicians or other healthcare providers receive a set amount of money per patient assigned to their care, per period of time, whether or not that patient seeks care. This fee is intended to cover all the necessary medical services for that patient during that time frame. It is a type of risk-based payment model that encourages providers to manage resources efficiently and provide appropriate care to keep patients healthy and avoid unnecessary procedures or hospitalizations. The amount of the capitation fee can vary based on factors such as the patient's age, health status, and any specific healthcare needs they may have.
A Health Maintenance Organization (HMO) is a type of managed care organization (MCO) that provides comprehensive health care services to its members, typically for a fixed monthly premium. HMOs are characterized by a prepaid payment model and a focus on preventive care and early intervention to manage the health of their enrolled population.
In an HMO, members must choose a primary care physician (PCP) who acts as their first point of contact for medical care and coordinates all aspects of their healthcare needs within the HMO network. Specialist care is generally only covered if it is referred by the PCP, and members are typically required to obtain medical services from providers that are part of the HMO's network. This helps to keep costs down and ensures that care is coordinated and managed effectively.
HMOs may also offer additional benefits such as dental, vision, and mental health services, depending on the specific plan. However, members may face higher out-of-pocket costs if they choose to receive care outside of the HMO network. Overall, HMOs are designed to provide comprehensive healthcare coverage at a more affordable cost than traditional fee-for-service insurance plans.
Blue Cross Blue Shield (BCBS) is a federation of 36 separate health insurance organizations and companies in the United States. It provides healthcare coverage to over 100 million Americans, making it one of the largest health insurers in the country. The BCBS brand offers a variety of medical, dental, vision, and prescription drug plans for individuals, families, and businesses.
The "Blue Cross" and "Blue Shield" designations originated from two separate insurance organizations that emerged in the early 20th century. Blue Cross initially focused on hospital coverage, while Blue Shield concentrated on physician services. In 1982, these two entities merged to form the modern-day BCBS Association.
BCBS plans are known for their extensive provider networks, which typically include a wide range of hospitals, doctors, and other healthcare professionals. The specific benefits, costs, and coverage options vary by plan and region but generally offer comprehensive medical services, including preventive care, specialist visits, hospital stays, and prescription medications.
BCBS also participates in various federal and state health programs, such as Medicare Advantage plans, Medicaid managed care, and the Children's Health Insurance Program (CHIP). Additionally, BCBS offers international insurance options for individuals living or traveling abroad.
It is essential to research and compare different BCBS plans and offerings in your area to determine which one best suits your specific healthcare needs and budget.
Managed care programs are a type of health insurance plan that aims to control healthcare costs and improve the quality of care by managing the utilization of healthcare services. They do this by using a network of healthcare providers who have agreed to provide services at reduced rates, and by implementing various strategies such as utilization review, case management, and preventive care.
In managed care programs, there is usually a primary care physician (PCP) who acts as the patient's main doctor and coordinates their care within the network of providers. Patients may need a referral from their PCP to see specialists or access certain services. Managed care programs can take various forms, including Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), Point-of-Service (POS) plans, and Exclusive Provider Organizations (EPOs).
The goal of managed care programs is to provide cost-effective healthcare services while maintaining or improving the quality of care. They can help patients save money on healthcare costs by providing coverage for a range of services at lower rates than traditional fee-for-service plans, but they may also limit patient choice and require prior authorization for certain procedures or treatments.
A Group Practice, Prepaid is a type of healthcare delivery model where a group of healthcare professionals come together to form a legal entity and provide medical services on a prepaid basis. In this system, patients or enrollees pay a fixed periodic fee in advance, which covers their access to a range of medical services offered by the group practice.
The healthcare professionals in the group practice may include physicians, specialists, nurses, physician assistants, and other allied health professionals who collaborate to provide comprehensive care to their patients. This model allows for better coordination of care, improved patient outcomes, and cost savings through more efficient use of resources.
Prepaid group practices can take various forms, such as Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), or Exclusive Provider Organizations (EPOs). These plans may have different levels of flexibility in terms of patient choice and provider reimbursement rates.
Overall, the goal of a Group Practice, Prepaid is to provide high-quality medical care while controlling costs through coordinated care, preventive services, and efficient resource utilization.
Medical economics is a branch of economics that deals with the application of economic principles and concepts to issues related to health and healthcare. It involves the study of how medical care is produced, distributed, consumed, and financed, as well as the factors that influence these processes. The field encompasses various topics, including the behavior of healthcare providers and consumers, the efficiency and effectiveness of healthcare systems, the impact of health policies on outcomes, and the allocation of resources within the healthcare sector. Medical economists may work in academia, government agencies, healthcare organizations, or consulting firms, contributing to research, policy analysis, and program evaluation.
Physician Incentive Plans (PIPs) are programs that provide financial rewards or incentives to physicians for achieving specific goals or targets related to the quality, efficiency, and cost-effectiveness of the healthcare services they deliver. These plans are designed to align the financial interests of physicians with the objectives of improving patient care, reducing unnecessary healthcare costs, and promoting evidence-based medicine.
PIPs can be tied to a variety of performance metrics, such as:
1. Clinical outcomes: Physicians may receive incentives for achieving better patient outcomes, such as reduced readmissions, improved disease management, and higher patient satisfaction scores.
2. Process measures: Incentives can be linked to the adherence to evidence-based guidelines, best practices, and standardized care protocols.
3. Efficiency and cost reduction: Physicians may receive financial rewards for reducing unnecessary tests, procedures, and hospitalizations while maintaining high-quality care.
4. Practice transformation: PIPs can encourage physicians to adopt new technologies, participate in quality improvement initiatives, and engage in continuous learning and professional development activities.
It is important to note that PIPs should be designed carefully to avoid unintended consequences, such as overemphasis on financial incentives at the expense of patient care or cherry-picking healthier patients to improve performance metrics. Transparent communication, shared decision-making, and regular evaluation of the plans are crucial for ensuring their success and sustainability.
A group practice is a medical organization where multiple healthcare professionals, such as physicians, nurses, and allied health professionals, collaborate to provide comprehensive medical care for patients. These practitioners share resources, expenses, and responsibilities while maintaining their own individual practices within the group. The goal of a group practice is to enhance patient care through improved communication, coordination, and access to a wide range of medical services.
Fee-for-service (FFS) plans are a type of medical reimbursement model in which healthcare providers are paid for each specific service or procedure they perform. In this system, the patient or their insurance company is charged separately for each appointment, test, or treatment, and the provider receives payment based on the number and type of services delivered.
FFS plans can be either traditional fee-for-service or modified fee-for-service. Traditional FFS plans offer providers more autonomy in setting their fees but may lead to higher healthcare costs due to potential overutilization of services. Modified FFS plans, on the other hand, involve pre-negotiated rates between insurance companies and healthcare providers, aiming to control costs while still allowing providers to be compensated for each service they deliver.
It is important to note that FFS plans can sometimes create financial incentives for healthcare providers to perform more tests or procedures than necessary, potentially leading to increased healthcare costs and potential overtreatment. As a result, alternative payment models like capitation, bundled payments, and value-based care have emerged as alternatives to address these concerns.
I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!
Independent practice association
Association of Independent Information Professionals
Healthcare in the United States
Integrated delivery system
American Psychological Association
John Chaney (judge)
Maciej Hunia
Independent Corrupt Practices Commission
Health maintenance organization
Australian Banking Association
Informatics Corporation of America
British Parking Association
Samuel Brubaker Hartman
Barbados Bar Association
Alfhild Tamm
Managed care
American College of Apothecaries
Preferred provider organization
Independent Online Booksellers Association
International Association of Exorcists
Shine (charity)
American Board of Family Medicine
Association for Decentralised Energy
Virginia Association of Independent Schools
Museums Journal
Eucharist
Keith Young
New York State Association of Independent Schools
Paul M. Ellwood Jr.
Oregon Health Plan
Independent practice association - Wikipedia
Independent Contractor Practices Policy Committee - Truckload Carriers Association
Stroke TIA - Greater Rochester Independent Practice Association
Notice of Data Security Incident - Greater Rochester Independent Practice Association
Independent reviewer extends Code of Banking Practice review - Australian Banking Association
News - Northern Colorado Independent Practice Association
Medical Billing - Northern Colorado Independent Practice Association
Best Practices | Association of Independent Living Groups
Joining physician-led integrated systems: A guide to better decision making | American Medical Association
Congratulations to ICBA's Best Practices & Top Performers Award Winners! - Independent College Bookstore Association
Three Prospect Medical Group-Affiliated Independent Practice Associations Awarded Highest Recognition by National Physician...
What is Sutter Health? | Sutter Health
Identifying predictors of high quality care in English general practice: observational study | The BMJ
Their Hands in Our Safe - Socialist Health Association
Brewers Association | Promoting Independent Craft Brewers
Union of European Football Associations Archives - Egypt Independent
Or. Admin. R. 340-150-0310 - Spill and Overfill Prevention Equipment and Testing Requirements | State Regulations | US Law |...
Professional Practice Valuation Expert Witnesses, Page 1
National Hospital Ambulatory Medical Care Survey, 1995
Origins and Evolution of Employment-Based Health Benefits - Employment and Health Benefits - NCBI Bookshelf
Search by Question Topics - Q-Bank
Washington Health Alliance | OneHealthPort
Health Insurance Terms You Need To Know
Health Care | Harris Beach, PLLC. Attorneys at Law
DFS and DOH Announce Members of Health Care Simplication Workgroup to Reduce Health Care Administrative Costs
Outcomes of planned home births with certified professional midwives: large prospective study in North America | The BMJ
Insurances Accepted
American Economic Association
4medica Launches Advisory Board of Healthcare Leaders and Experts
IPAs4
- Three independent practice associations (IPAs) affiliated with Prospect Medical Group were awarded Elite Status on the CAPG Standards of Excellence survey for 2016. (pmh.com)
- CAPG, the nation's leading association of physician organizations practicing accountable, risk-based, coordinated care, represents more than 250 multi-specialty medical groups and IPAs in 40 states. (pmh.com)
- The Blue Star Medical Group/IPA Report recognizes HMO contracting medical groups/Independent Practice Associations (IPAs) that have documented high levels of performance in providing patient care. (bcbsil.com)
- It offers state-of-the-art electronic prescribing service for all physicians, including small and large practice groups, clinics, and independent physician associations (IPAs). (drfirst.com)
Organizations5
- In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis. (wikipedia.org)
- The Washington State Medical Association, AMA and other physician organizations defeated multiple bills that would have put patient safety at risk. (ama-assn.org)
- Reece guides clients through corporate matters relating to the formation and ongoing representation of independent practice associations, medical groups, management services organizations, integrated delivery systems, and healthcare technology companies. (morganlewis.com)
- The ordinary least-squares model is used to determine the association of organizational characteristics with the adoption of diabetes care management processes in physician organizations. (diabetesjournals.org)
- There is a provision of the law ("Chapter 176T, Risk-bearing Provider Organizations") that was written to provide some assurance that provider organizations--physician organizations, physician-hospital organizations, independent practice associations, provider networks, accountable care organizations and any other organization that contracts with carriers for payment for health care services--would be financially capable of bearing the risk of alternative payment contracts. (blogspot.com)
Principles of Good Practice2
- Principles of Good Practice , Friends Council on Education. (lansdownefriendsschool.org)
- The PCDS Board of Trustees abides by the National Association of Independent Schools' Principles of Good Practice . (pcds.org)
20161
- Sydney, 13 December 2016: The Australian Bankers' Association has today acknowledged the one month delay of the report of the Code of Banking Practice review. (ausbanking.org.au)
Greater Rochester Independent Practice As1
- Greater Rochester Independent Practice Association Inc. ("GRIPA") recently learned about a data security incident that may have impacted a limited amount of protected health information ("PHI") for patients. (gripa.org)
20011
- Have been practicing at independent level since 2001. (emdria.org)
American Medical Ass2
- JAMA : the Journal of the American Medical Association. (wikipedia.org)
- The 2024 American Medical Association Medical Student Advocacy Conference (MAC) will be held March 7-8, 2024. (ama-assn.org)
20231
- Physicians Practice will be on the ground in Nashville to bring all the best tips from MGMA 2023 to your practice. (physicianspractice.com)
Content1
- MacKenzie Staples is the educational content manager for the Brewers Association. (brewersassociation.org)
Physician associations1
- He has held senior leadership positions in healthcare administration in a variety of settings including independent practices, integrated health systems, and independent physician associations. (physicianspractice.com)
Care32
- An HMO or other managed care plan can contract with an IPA, which in turn contracts with independent care providers or physicians to treat members at discounted fees or on a capitation basis. (wikipedia.org)
- Joining an IPA will not relieve a care provider from all of the administrative duties of running a medical practice or other care delivery organization. (wikipedia.org)
- As a result of the COVID-19 pandemic, physicians are actively exploring ways they can provide high-quality care for their patients and have a sustainable medical practice that provides them professional satisfaction. (ama-assn.org)
- Our integration and focus on best practices reduce medical complications, unnecessary procedures and hospital visits, which helps to lower cost of care for our patients and employers. (sutterhealth.org)
- We spread these innovations and best practices across our connected model of care. (sutterhealth.org)
- To assess variation in the quality of care in general practice and identify factors associated with high quality care. (bmj.com)
- Quality of management of chronic disease (angina, asthma in adults, and type 2 diabetes) and preventive care (rates of uptake for immunisation and cervical smear), access to care, continuity of care, and interpersonal care (general practice assessment survey). (bmj.com)
- Diabetes care was better in larger practices and in practices where staff reported better team climate. (bmj.com)
- Access to care was better in small practices. (bmj.com)
- Preventive care was worse in practices located in socioeconomically deprived areas. (bmj.com)
- Scores for satisfaction, continuity of care, and access to care were higher in practices where staff reported better team climate. (bmj.com)
- No single type of practice has a monopoly on high quality care: different types of practice may have different strengths. (bmj.com)
- In a systematic review of quality of care in general practice, 4 we found that many studies focus on only one clinical area, precluding comparison of factors affecting different aspects of quality of care. (bmj.com)
- A springboard into a career of association work or independent practice that will position you as a future leader in the health care field. (ncpa.org)
- Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges. (stanford.edu)
- Annually, Blue Cross and Blue Shield of Illinois assesses medical group performance based upon national clinical practice and preventive care guidelines. (bcbsil.com)
- Prescriptions are checked for everything from allergy and drug interactions to formulary compliance, improving overall the practice of medicine and enhancing patient safety and quality of care. (drfirst.com)
- The extent of adoption of four diabetes care management processes is measured by an index consisting of the organization's use of diabetic patient registries, clinical practice guidelines, case management, and physician feedback. (diabetesjournals.org)
- A logistic regression model is used to determine the association of organizational characteristics with the adoption of individual diabetes care management processes. (diabetesjournals.org)
- Maternity care practices that occur during the intrapartum hospital stay influence the initiation and duration of any and exclusive breastfeeding. (cdc.gov)
- Among adolescent mothers (for this report, adolescents are defined as persons aged 12-19 years) who initiated breastfeeding, the self-reported prevalence of experiencing breastfeeding-supportive maternity care practices ranged from 29.2% (not receiving a hospital gift pack that contained formula) to 95.4% (receiving information about breastfeeding from hospital staff). (cdc.gov)
- Among the maternity care practices with a significant independent association with any and exclusive breastfeeding for ≥4 weeks and ≥8 weeks, there was a positive dose-response relationship between the number of practices experienced by adolescent mothers and their breastfeeding outcomes. (cdc.gov)
- however, studies have not examined associations between BFHI-aligned maternity care and breastfeeding outcomes solely among adolescent mothers (for this report, adolescents refers to persons aged 12-19 years). (cdc.gov)
- Given the substantial health advantages conferred to mothers and children through breastfeeding, and the particular vulnerability of adolescent mothers to lower breastfeeding rates, it is important for hospitals to provide evidence-based maternity practices related to breastfeeding as part of their routine care to all mothers, including adolescent mothers. (cdc.gov)
- ADVANCES IN NURSING regulations alongside strained access to primary care for an aging population present entrepreneurial opportunity for nurse practitioners (NPs), especially NPs in states with full practice authority. (medscape.com)
- Reducing scope of practice barriers should encourage broader participation in NP-led primary care efforts which should extend the reach of cost-effective, high-quality care to those with chronic and complex health needs in underserved areas (Van Vleet & Paradise, 2015). (medscape.com)
- While less than half of U.S. states afford APRNs full practice authority, critical mass is being gained and current trends show an encouraging trend toward universal full practice authority in the near future, opening the door for more patients to experience the benefits of nurse-led innovations in advanced care modalities. (medscape.com)
- APRNs, in states with full practice authority, are developing practices outside hospital walls to increase access of care to the most vulnerable while leveraging emerging reimbursement from commercial healthcare providers. (medscape.com)
- Self-sufficient independent practice has afforded the opportunity for NPs to specialize and maximize patient care, allowing clients to become true partners in their care planning (Barberio, 2010). (medscape.com)
- Policymakers are discovering NP independent practice can increase access of care, particularly in urban and rural areas. (medscape.com)
- DPC is a solo-practice with three operational divisions: a primary care practice, a clinical aesthetics practice, and a consulting shop. (medscape.com)
- We aimed to examine associations of dolutegravir use with NTDs and pregnancy loss using large health-care claims databases from the USA, a country with folic acid fortification of food. (cdc.gov)
Scope of pract2
- However, overcoming entrenched scope-of-practice barriers is of paramount importance to nurse entrepreneurs. (medscape.com)
- Since 2010, the Institute of Medicine has recommended removal of scope-of-practice barriers for nurses at all levels of practice so patients may benefit from unfettered access to nursing expertise. (medscape.com)
20191
- See also the 2019 American Association for the Study of Liver Disease's practice guidelines for Alcohol-Associated Liver Disease . (msdmanuals.com)
Preventive1
- The Royal Australian College of General Practitioners has published Guidelines for preventive activities in general practice (RACGP , 2002) which include brief guidelines for smoking cessation. (who.int)
20175
- Twenty-two states and the District of Columbia grant advanced practice registered nurses (APRNs) full practice authority, wherein APRN practice is governed solely by the local board of nursing and practice is absent any locally regulated non-nursing involvement or physician involvement (American Association of Nurse Practitioners, 2017). (medscape.com)
- Several states have already passed independent NP practice legislation with several more considering such legislation, making this policy issue one of few bipartisan areas of agreement in healthcare (Jaspen, 2017). (medscape.com)
- An independent evaluation of the first two years of the Transformation Agenda was undertaken in April 2017 by the WHO Evaluation Office in Geneva at the request of the Regional Director (Annex 1). (who.int)
- http://www.afro.who.int/en/rdo/transformation-agenda.html ( Last accessed March 30, 2017). (who.int)
- http://www.afro.who.int/en/rdo/reports/4928-the-africa-health-transformation-programme-2015-2020-a-vision-for-universal- health-coverage.html (Last accessed March 30, 2017). (who.int)
Healthcare4
- Dear Northern Colorado Business Owners: The Independent Physician Practices listed below would like to collectively raise your awareness level regarding some important changes in the healthcare insurance market. (coloradoipa.com)
- Objective To evaluate the safety of home births in North America involving direct entry midwives, in jurisdictions where the practice is not well integrated into the healthcare system. (bmj.com)
- In this podcast, healthcare consultant Craig Greenberg shares three tasks every practice manager should complete before the end of 2014. (physicianspractice.com)
- W. Reece Hirsch co-heads the firm's privacy and cybersecurity practice and counsels clients on a wide range of US privacy issues, specializing in healthcare privacy and digital health. (morganlewis.com)
Outcomes4
- Among the five practices identified to be significantly associated with breastfeeding outcomes in this study, the more practices a mother experienced, the more likely she was to be breastfeeding (any amount or exclusively) at 4 weeks and 8 weeks postpartum. (cdc.gov)
- RESULTS: Biomechanical and psychosocial exposures have independent and additive associations with the wide variety of outcomes, often of similar magnitude. (cdc.gov)
- Biomechanical exposures tend to be associated with negative outcomes in identifiable body areas, whereas job stress had fewer identifiable associations with outcomes by body area. (cdc.gov)
- therefore, the association of vaccine with outcomes should be considered as a weak form of evidence. (who.int)
Organization3
- The Brewers Association is an organization of brewers, for brewers and by brewers. (brewersassociation.org)
- Is this medical organization affiliated with an Independent Practice Association (IPA) or Physician Hospital Organization (PHO)? (cdc.gov)
- The American Booksellers Association, a national not-for-profit trade organization, works with booksellers and industry partners to ensure the success and profitability of independently owned book retailers, and to assist in expanding the community of the book. (bookweb.org)
Clinical practice1
- He is a pediatrician from the University of Tennessee, College of Medicine, and later on he will be talking to us about medical monitoring and give a presentation about how we establish guidelines for clinical practice. (cdc.gov)
Hospital2
- The NHAMCS was endorsed by the American Hospital Association, the Emergency Nurses Association, and the American College of Emergency Physicians. (cdc.gov)
- This is a blog by a former CEO of a large Boston hospital to share thoughts about negotiation theory and practice, leadership training and mentoring, and teaching. (blogspot.com)
Innovations2
- As America's community pharmacy association, we bring student pharmacists together to shape good ideas into best practices and to turn challenges into innovations. (ncpa.org)
- The ITI awards are a highlight in the language industry event calendar, rewarding professionals for their knowledge and skills, business practices, innovations and contributions to the industry. (surrey-chambers.co.uk)
Group3
- The Independent College Stores Report (ICSR) is a joint ICBA and Large Stores Group (LSG) financial survey that gathers data from independent college stores and presents it in a way that can be used for improved benchmarking, strategic planning, and decision-making.Considered to be one of the most valued membership benefits, the Independent College Stores Report is available to all ICBA members that participate. (icbainc.com)
- 1. Primary Sampling Units (PSUs) A PSU consists of a county, a group of counties, county equivalents (such as parishes and independent cities), towns, townships, minor civil divisions (for some PSUs in New England), or a metropolitan statistical area (MSA). (cdc.gov)
- He previously served on a similar advisory group to the California Office of Privacy Protection that developed security breach response recommended practices. (morganlewis.com)
Contracts1
- CBC Independent Practice Association-which represents eight community-based behavioral health providers-secured three contracts totaling $5 million, or 10% of the state's available funding for 15-month contracts. (constantcontact.com)
Physicians3
- In the video series, Our Legacy in Practice: A Physician's Story, physicians talk about their challenges and successes as historically marginalized physicians. (ama-assn.org)
- Rcopia is a SureScripts Certified SolutionTM, which enables physicians to electronically access and conduct two-way communications with more than 50 percent of chain and independent pharmacies across the country that will be connected to SureScripts Messenger" Services by year's end. (drfirst.com)
- With Rcopia's offline capabilities on the PDA, physicians can write prescriptions for all patients in their practices whether or not they're connected to the Internet. (drfirst.com)
Resources3
- The Brewers Association has resources on every topic important to the craft brewing industry. (brewersassociation.org)
- These resources assist pharmacy schools in establishing connection with NCPA and educating their students about independent community pharmacy. (ncpa.org)
- AMA Tasmania has guides, resources and advisors that can help doctors to working in/or running a private practice. (ama.com.au)
Staff5
- More than 5,600 US brewery members and 37,000 members of the American Homebrewers Association are joined by members of the allied trade, beer distributors, individuals, other associate members and the Brewers Association staff to make up the Brewers Association. (brewersassociation.org)
- Doctors employing staff within their practice. (ama.com.au)
- In that endeavour, the Ombudsman regularly engages with senior management, including the Director-General, regional directors and other stakeholders, notably the staff associations, with a view to finding effective ways of addressing issues of concern informally. (who.int)
- These guidelines aim to assist general practitioners (GPs) and their practice staff to more effectively identify smokers and assist them to stop smoking. (who.int)
- In a survey that was conducted by the independent evaluation team, 78% of staff confirmed having improved their knowledge of these WHO and UN policy documents and tools. (who.int)
Health5
- Messengers," specialists who are selected to represent individual practices, can be used by IPA members to review and discuss coding and compensation with health insurance companies. (wikipedia.org)
- This is the first of two reports on health service funding by the Socialist Health Association. (sochealth.co.uk)
- It is fitting that there should be a contribution at this time to the debate about the future of the NHS from the Socialist Health Association. (sochealth.co.uk)
- 5 Although several Canadian medical societies 6 7 and the American Public Health Association 8 have adopted policies promoting or acknowledging the viability of home births, the American College of Obstetricians and Gynecologists continues to oppose it. (bmj.com)
- What are the implications for public health practice? (cdc.gov)
Survey1
- METHODS: In a sample of practicing dental hygienists and dental hygiene students in Connecticut, the study assessed biomechanical exposures, psychosocial exposures, and symptom status by survey. (cdc.gov)
Professional4
- The Institute of Translation and Interpreting is an independent professional membership association for practising translators, interpreters and language services businesses. (surrey-chambers.co.uk)
- AMA Tasmania members can access first-line legal assistance on matters of public and private professional practice, ethics and the legal obligations of doctors. (ama.com.au)
- The International Association of Privacy Professionals has designated him a Certified Information Privacy Professional. (morganlewis.com)
- and Professional Psychology: Research & Practice . (kspope.com)
Tobacco1
- Practice Guideline Treating Tobacco Use and Dependence (Fiore et al, 2000). (who.int)
Workplace2
- CONCLUSIONS: The results of this study indicate that, in addition to identifying and controlling biomechanical risk factors, dental schools, dental practices, and dental hygienists themselves should pay attention to the identification and control of psychosocial risk factors in the workplace. (cdc.gov)
- Effective fluid management guidelines and exposure control measures exist, yet we continue to see ineffective workplace practices and conditions. (cdc.gov)
Guidelines1
- These smoking cessation guidelines for Australian general practice have been developed from a review of all of these materials plus guidelines produced for special groups. (who.int)
Main1
- Erythema nodosum (EN) (shown below) is the main nonspecific cutaneous disease. (medscape.com)
Routine1
- Multiple logistic regression with multilevel modelling was used to relate each of the outcome variables to practice size, routine booking interval for consultations, socioeconomic deprivation, and team climate. (bmj.com)
Influenza2
Management5
- Click here for information on NCPA's 10-week Summer Internship Program and Association Management APPE Rotation. (ncpa.org)
- Most practice management systems can accommodate this reporting, and if you are utilizing electronic remittance advices, the denial reason may update automatically. (physicianspractice.com)
- If your practice management system cannot track this, set up a simple spreadsheet and track the reasons for denial (many practices use denial codes rather than words for easy entry and tracking). (physicianspractice.com)
- is the vice president of practice management for AAPC. (physicianspractice.com)
- Full practice authority not only affords the NP, as an APRN, lawful control of and full liability for evaluation and management of patients in his/her charge, it eliminates financial barriers to entrepreneurship unique to APRNs and allows for fair market competition (Gilman & Koslov, 2014). (medscape.com)
Provide1
- The purpose of the evaluation was to review progress, document achievements and best practices, identify challenges and areas for improvement and provide recommendations on the way forward. (who.int)
Services2
Committee2
- The Independent Contractor Practices Policy Committee is responsible for developing TCA policy and solutions involving issues relating to independent contractor drivers. (truckload.org)
- A Vice President, who sets the agenda and reports the committee's work at Board meetings, chairs each committee, with the exception of the Audit Committee, which is directed by an independent coordinator. (pcds.org)
Good1
- To understand more about this practice setting and whether it may be a good option for you, the AMA has provided the guide, Joining or aligning with a physician-led integrated system . (ama-assn.org)
Identify1
- One of the goals of the AILG Peer Visit Program is to help our community identify and share best practices. (mit.edu)
Study2
- The North American Registry of Midwives provided a rare opportunity to study the practice of a defined population of direct entry midwives involved with home birth across the continent. (bmj.com)
- CDC used 2009-2011 PRAMS data (the most current data available) from New York City and 10 states ¶ that included the maternity practices module during at least 1 study year and met the 65% response rate threshold. (cdc.gov)
Increase1
- Shop-level biosecurity practices might increase risk for environmental contamination. (cdc.gov)
Share1
- Here, booksellers who will be featured on the Winter Institute 11 panel "How to Keep Seasonal Customers Year-Round" share some of their best practices for keeping engaged with local customers and seasonal visitors to spur sales during slow months. (bookweb.org)
Access1
- AANP Responds to VA Plan for Independent Advanced Practice RNs The president of the American Association of Nurse Practitioners responds to a proposal that would give veterans direct access to advanced practice in US veterans' facilities without physician oversight. (medscape.com)
National Association1
- Prior to working for the BA, Katie was vice president of political affairs at the National Association of Federal Credit Unions. (brewersassociation.org)
Business1
- Source: franchised and independent business brokerage / merger and acquisition practices and industry associations. (enlign.com)
President1
- The Board is comprised of 19 regular members and three ex officio members: the Head of School, the President of the Alumni Association, and the President of the Parents' Association. (pcds.org)