| SGPA SERVICES |
|
Facilitate the
formalization
of an IPA:
● Through experience
● Legal documents
● Office Education |
|
|
Build networks to
protect
rural physicians:
● Government
health care plans
●
Commercial health care plans
|
|
|
Provides critical
information to each practice:
● Fee
analysis comparisons
● Network
meeting for
administrators
●
Compliance manuals
● In service
seminars for plans |
|
|
Provides and
continues to
expand its purchasing policies: ● Malpractice insurance
● Directors and Officers Liability
discounts
● Patient satisfaction surveys
● Office Practice Analysis
● Medical and
office supplies |
|
|
Provides managing
services to each IPA. |
|
|
Provides agreements
for contracting self-insured companies. |
|
|
Provides managed
care contracting:
● Using a "messenger model"
so physicians can choose which network they want to
participate.
● Contracts as a group. A network must
accept all physicians. Physicians can not be terminated
from a network without approval of the board.
● Reviews all contract language to
ensure physicians are protected from any adverse action.
● Works directly in each community to
ensure that employers and payers needs are met.
● Contract directly with employers, TPAs',
state wide networks, and national networks. |
|
|
Analyzes
local and surrounding industry base:
● To identify the industry base in each community.
● To identify the number of employees
and total number of insured by industry.
● To identify the insurance carriers or
TPA that is used for each industry.
● To identify the fully
insured versus the self-insured industries.
● To identify the decision-maker for
each industry. |
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