FP Stats

Does Your IPA Act Like an HMO?


Fam Pract Manag. 1998 Oct;5(9):72.

Physician-led independent practice associations (IPAs) are supposed to be more physician-friendly than managed care organizations, at least in theory. But that may not be the case for IPAs in highly competitive markets. According to a recent study of 53 physician-led IPAs in California, IPAs there share many of the business practices of managed care organizations, even some of the most unpopular ones. In particular, the survey found that roughly half of the IPAs had terminated a physician contract in the previous year. Sixty-four percent cited concerns with quality of care as the reason for termination, 41 percent cited "conflicts over IPA policies" and 27 percent cited "excessively costly practice."

California IPAs' reasons for terminating physician contracts

Source: Grumbach K, Coffman J, Vranizan K, Blick N, O'Neil EH. Independent Practice Association Physician Groups in California. Health Affairs. 1998;17(3):227-237.


Copyright © 1998 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact fpmserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


Jan-Feb 2021

Access the latest issue
of FPM journal

Read the Issue

FPM E-Newsletter

Sign up to receive FPM's free, weekly e-newsletter, "Quick Tips & Insights."

Sign Up Now


Tobacco Cessation Telehealth Guide

Smoking cessation counseling and pharmacotherapy options are cost-effective ways to help patients quit smoking. Learn the role telehealth can play in your practice’s efforts, along with billing, coding, and documentation tips.

Understanding and Improving Risk Adjustment in Team-Based Care

Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care.

Incorporating Alcohol Screening and Brief Intervention Into Practice

Incorporating alcohol screening and brief intervention benefits your patients and family medicine practice. Follow these steps to reduce risky alcohol use by choosing a screening test, establishing a practice workflow, and appropriately coding and billing.