• IPA Benefits

    The Kentucky Primary Care Association operates a messenger-style Independent Practice Association (IPA), which contracts with Medicaid Managed Care Organizations, Medicare and commercial payors on behalf of KPCA members. The IPA aims to create a high performing preferred provider network with financially stable membership providing cost effective, high quality patient centered primary care.

    The benefits of participating in the IPA:

    • Contracting with health plans for Medicaid, Medicare Advantage and commercial products
    • Negotiated rates and gain share opportunities
    • Pay-for-performance and pay-for-quality incentive programs
    • Delegated credentialing
    • Weekly communications to keep you up-to-date on contracts, incentives and other IPA issues
    • Online reporting of claims data for your organization
    • Training and technical assistance to help your practice maximize revenue and improve quality
    • Assistance with the 340B Rx program

    Current contracts include:

    • CoventryCares of Kentucky (Medicaid)
    • Humana CareSource (Medicaid)
    • Passport Health Plan (Medicaid)
    • WellCare of Kentucky (Medicaid, Medicare Advantage and Commercial)
    • CareSource (Commercial)
    • Anthem Enhanced Personal Health Care Program (Commercial)
    • Kentucky Health Cooperative (Commercial)
    • WellCare of Kentucky (Commercial)

     
    Participating practices can “opt in” or “opt out” of each contract. Contracts include a range of incentives for quality, PCMH recognition, cost containment, as well as delegated credentialing to expedite enrollment with some health plans.