Committee Descriptions

Managed Care:

The managed care committee establishes guidelines and principles under the messenger-model to develop new payor contracts for IPA members. The development of the clinical integration program and the patient-centered medical home concept will demonstrate to managed care organization our efficiency and quality of care throughout CPIPA practices.

For Managed Care Committee comments/suggestions email: joann@cpipa.org 

Clinical Integration:

The clinical integration committee oversees the process which allows physicians and hospitals to evaluate and analyze their collected patient data, allowing participants to create a high degree of interdependence and cooperation in order to improve quality and efficiency.  The committee will establish HIPAA-compliant policies and procedures for aggregating data from independent practices and VUMC, including restricted access to data and distribution of reports to all participating practices.

For Clinical Integration Committee comments/suggestions email: devona@cpipa.org

Credentialing:

The credentialing committee, in compliance with NCQA guidelines, ensures a thorough background check for all physicians joining the IPA. The IPA has delegated credentialing agreements with all managed care organizations under contract with the IPA. This process of credentialing each physician eliminates duplicate efforts required by managed care organizations for each individual contract.

For Credentialing Committee comments/suggestions email: devona@cpipa.org

Clinical Quality:

The clinical quality committee reviews reports from the clinical integration database and AmeriGroup PQIP reporting to determine quality goals for IPA practices. The clinical quality committee works to assist practices in understanding and improving individual practice efficiency.

For Clinical Quality Committee comments/suggestions email: joann@cpipa.org