PURCHASE PHYSICIANS’ ORGANIZATION BACKGROUND Incorporated December 1994 as not for profit Independent Practice Association(IPA) 1997 converted to LLC Board consists of 13 physicians GOALS Regional participation Democratic governance(one member, one vote) Promote access to physician of choice Facilitate managed care needs of regional employers Centralized credentialing for contracts MEMBERSHIP CATEGORIES Participating provider- physicians only. Initial credentialing fee of $150 then an annual assessment of $150 per year thereafter. No recredentialing fee. Equity member-Participating providers may also become equity members. $ 200 for PCP, $ 400 for specialist. This is a one-time fee. Preferred participating provider- non-physicians. Initial credentialing fee of $150 then an annual assessment of $150 per year thereafter. No recredentialing fee. Purchase Physicians’ Organization (PPO) relationship with Purchase Health Partners (PHP) PHP is a not for profit membership corporation, incorporated Aug. 13, 1996 Ownership of PHP is 50% PPO and 50% Western Baptist Hospital Board representation is 3 physicians from PPO and 3 representatives from Western Baptist Hospital. Issues decided by consensus. PHP Services Physician claims recovery assistance with PHP contracts Contractual fee analysis Contract maintenance Payor/Contract Updates Quarterly office manager meetings/monthly communications Preferred Vendor Relationships(discount pricing for office needs) Educational programs for physicians and office staff Updates on legislative activities/ advocacy efforts where appropriate JOIN FOR THE VOICE………STAY FOR THE VALUE ! FOR INFORMATION CONTACT PHP AT 270-575-2955 OR 270-415-7230.