CIPA: A Michigan Physician Organization
Value-Based Care should be value-based care
Resources
Since 2005, CIPA has been helping Michigan physicians improve their cost and quality performance, unlocking increased revenue opportunities. Medical Advantage assumes 100% of financial downside risk and CIPA shares 50% of it’s Value-Based Care earnings with member physicians.
#1
Statewide Physician Organization made primarily of independent physicians
Over 90%
of CIPA practices achieved PCMH designation
$75 Million+
in additional revenue through fee schedule increases and financial incentives from participation in value-based contracts
No membership fees
Boost your value-based reimbursements
Our engagements are designed to enhance your value-based reimbursement opportunities, ensuring that you not only deliver exceptional care but also thrive financially in the evolving health care landscape. By participating in value-based contracts through CIPA, you can leverage benefits that drive both patient and practice success.
We offer 24 health plan contracting opportunities though Michigan:
| Aetna | Blue Care Network | Meridian |
| BCBSM PGIP | Health Alliance Plan | Molina |
| BCBSM Blueprint | Humana | Priority Health |
| Blue Cross Complete | MSSP ACO |
Practice consulting
- Monthly meetings with our Practice Consultants
- Improve clinical and financial outcomes
Practice marketing
- Practice website services
- Attract and engage patients in your community
- Online reputation management
Analytics & performance reporting
- Portal access to analytics and reports
- Provides the insights necessary to effectively manage your patient population
EHR services
- EHR staff training
- Template improvements
- EHR reports
- Helpdesk services
- Telehealth configuration and training
Billing & revenue cycle management
- Billing, coding and revenue cycle training and consulting
- Ensure maximum reimbursement from payers on submitted claims
Payer contracting
- Access to multiple payer contracts
- Optimize performance in value-based care contracts
- Support in improving patient outcomes to maximize reimbursement
- Regular virtual check-ins with the high-risk members of your population
Documentation updates in your EHR
MACRA MIPS performance assistance
- Access to QPP Advisors for guidance on issues related to MIPS eligibility, participation and performance
- Assistance is customized to meet practice’s reporting requirements and goals
Medical professional liability insurance
- CIPA members can take advantage of the best Medical Professional Liability rates
Established to serve Michigan’s independent practices
CIPA is a physician organization consisting of independent practices in over 80 Michigan counties. Our organization enables small groups of physicians and independents to participate in pay-for-performance programs and value-based payer contracts normally only available to larger groups. As a physician, you maintain autonomy in the practice of independent medicine and maintain full control over the financial health of your practice. As a CIPA member, you gain access to invaluable resources, no matter where you are in the state.
Physicians in CIPA benefit from regular in-practice and virtual visits with our team of expert coaches, who work closely with practice administration and staff to improve clinical and financial outcomes. CIPA does not require membership fees.
CIPA membership includes:
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Additional Earning Opportunities with a VBC Powerhouse
Medical Advantage is now part of Aledade, the largest network of independent primary care providers in the United States. As a leading primary care Accountable Care Organization (ACO) network and a recognized leader in value-based care, Aledade supports over 1,900 practices, health centers, and clinics across the United States. Our shared goal is to expand value-based care in Michigan and beyond. That means CIPA members have an additional opportunity to maximize reimbursements from both commercial payers and CMS.
Frequently Asked Questions about our Michigan Physician Organization, CIPA
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What are the benefits of joining a physician organization in Michigan?
Joining a physician organization in Michigan offers numerous benefits for independently practicing physicians and group practices. These organizations provide support systems that help improve the quality of care services delivered to patients. Key benefits include:
- Collaborative Environment: Working with other primary care physicians and specialists enhances knowledge sharing and best practices.
- Access to Resources: Physician organizations often provide access to advanced medical home models, managed care contracts, and public health initiatives.
- Financial Stability: Participation can lead to shared savings programs and better reimbursement rates through value-based care contracts.
- Professional Support: Organizations offer administrative support, continuing education, and advocacy through their board of directors.
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How does a physician organization help to improve patient care?
Physician organizations play a crucial role in enhancing patient care by fostering a collaborative environment where high-quality care is prioritized. Here is how they make a difference:
- Integrated Care: By working closely with physician hospitals and care organizations, these groups ensure comprehensive and coordinated care services.
- Quality Improvement Programs: Physician practices benefit from initiatives aimed at achieving better patient outcomes.
- Resource Optimization: Access to shared resources, such as electronic health records (EHR) and practice management tools, helps streamline operations and improve patient care.
- Patient-Centered Approach: A focus on medical home models ensures that care is holistic, continuous, and tailored to patient needs.
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What are the key factors to consider when looking to join a physician organization?
When considering joining a physician organization, several key factors should be evaluated:
- Alignment with Practice Goals: Ensure the organization’s mission and values align with your own goals as a primary care physician or specialist.
- Support Services: Look for organizations that offer extensive support services, including administrative assistance, practice management, and technology optimization.
- Quality of Care Commitment: Evaluate their commitment to high-quality patient care and involvement in public health and managed care initiatives.
- Financial Benefits: Consider the financial incentives, such as improved reimbursement rates and participation in value-based care contracts.
- Reputation and Network: Assess the organization’s reputation and the strength of its network, including affiliated physician hospitals and care organizations.
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How does technology play a role in enhancing patient care within a PO?
Technology is pivotal in enhancing patient care within a physician organization (PO). Medical Advantage helps physician organizations leverage technology with the following services for healthcare providers:
- EHR Optimization: Implementation, customization, training, and support for effective use of EHRs and integration with other healthcare systems to ensure seamless data flow.
- Data Analytics: Advanced analytics to identify care gaps and track patient outcomes, performance monitoring and reporting to inform clinical decisions, and predictive analytics to enhance patient care and resource allocation.
- Revenue Cycle Management (RCM): Streamlining billing processes for accurate and timely reimbursement, claims management and denial resolution services, and financial performance tracking and reporting.
- Telehealth Solutions: Implementation of telehealth platforms for remote patient consultations, training and support for providers and patients, and integration with existing practice management systems to ensure continuity of care.
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Business resourcesAutomated and customizable communications to ensure your patients receive the right information at the right time, enhancing their overall care experience.
Find the best clinical and administrative candidates for your organization with our vetting, job creation, job description analysis, and onboarding assistance.
Credentialing and Enrollment
Ensure compliance and efficiency with our clinician credentialing and enrollment support services.
Performance Reporting
Our custom assessments use Aledade and MGMA data to analyze partner performance and identify opportunities for improvement.
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