Why Join Global Care Medical Group IPA

  • Availability of Healthy Families, Medi-Cal, Commercial and Senior managed care contracts.
  • Arrangements with specialty providers and hospitals throughout Los Angeles County.
  • Tertiary Agreements in place at Cedars-Sinai Medical Center, Children's Hospital, Orthopedic Hospital and USC University Hospital.
  • Direct Referral Program in place for all IPA enrollees.

What This Mean For You!

  • Existing networks will reduce the time required in getting you contracted for a managed care delivery system.
  • Staff training and education on how to make the transition from fee-for-service to managed care.
    • How to manage finances in a capitated environment.
    • Managing care in a risk-sharing contract.
    • Attracting and keeping members.

Global Advantages:

  • No cost to join.
  • Free primary source credentialing.
  • Access to several HMO's contracts i.e. L.A. Care/Health Net.
  • D.H.S. site certification assistance.
  • Opportunity to practice medicine with high quality colleagues in World Class Hospitals.
  • Assistance with on going quality improvement.
  • Competitive capitation and fee for service reimbursement rate.
  • Pays competitive capitation.
  • Timely claims processing.

     

Global Care Points Physicians can earn points with Global Care in the following areas:

  • Patient access.
  • Satisfactory survey result.
  • Quality of care and Heidis indicators:

    • Immunization %

    • Mammogram %

    • Pap test %

    • Breast Examinations %

    • Rectal (Occult blood/Prostate evaluation) %

    • % of men > 50 years of age with annual PSA. (Prostate evaluation)

    • Chronic diseases management e.g. Diabetes Mellitus (Annual eye/retinal exams, footcare, Glucose markers/Hgba 1 c) and Asthma periodic assessments %

    • Annual Cholesterol evaluations %

    • Use of beta blockers in acute myocardial infections %

    • Use of Ace inhibitors in CHF patients%

  • On site visit %

  • Timely submission of encounter data and PM 160 forms.

 

Providers