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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. [1] [2]
On September 1, 2018, Bon Secours and Mercy Health combined to become the United States' fifth largest Catholic health care ministry and one of the nation's 20 largest health care systems. [1] The two systems and their hospitals retained their pre-merger names and branding. [ 2 ]
The Omnibus Budget Reconciliation Act of 1989 enacted a Medicare fee schedule, and as of 2010 about 7,000 distinct physician services were listed. [2] The services are classified under a nomenclature based on the Current Procedural Terminology (CPT) to which the American Medical Association holds intellectual property rights. [ 2 ]
WMC will actively manage the Bon Secours Charity Hospitals and associated facilities. [2] The combination of BSCHS and existing WMC facilities gives the new network 1,500 inpatient hospital beds, 166 nursing home beds, 2,800 physicians, and a workforce of over 10,000.
Among the physician practices, 16.5% had only one office-based physician in 2016. [3] Physician group practices with 2-4 physicians make up 22.3% of physician offices in the United States, 19.8% have 5-10 physicians, 12.1% have 11-24 physicians, 6.3% have 25–49, and the remaining 13.5% have 50 or more physicians.
The situation in the US is not entirely clear. [2]According to the World Medical Association, [3]. The AMA Code provides that payment by or to a physician solely for the referral of a patient is unethical as is the acceptance by a physician of payment of any kind, and in any form, from any source such as a pharmaceutical company or pharmacist or a manufacturer of medical appliances and devices ...
Section 412 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 established the Medicare Physician Group Practice (PGP) Demonstration, a project designed to create incentives for physicians to improve both the cost efficiency and quality of the care they provide to Medicare beneficiaries. [2]
By 2010, there were over 5,000 physicians [21] in over 500 providers using the model. [14]: 12 From 2012-2018, the Physicians Foundation has conducted a biennial survey of physicians and found that between 4.5-8.8% plan to switch to a concierge model each time. [22] In 2012, there were 4,400 private physicians – a 25% increase from 2011. [23]