HCP History
1996
What is the year HCP, IPA was founded?
A business entity that allows a groups of small physician practices to act as a unified whole
What is an IPA?
This is not required for most services provided in the office setting
What is a prior authorization?
Profitability, Managing by Metrics, Provider Engagement
What are HCP's Strategic Priorities?
Integrity, Empathy, Quality and Innovation, and Collaboration
What are HCP's Core Values?
Medicare, Medicaid, Commercial
What lines of business does HCP care for?
You can find this on our website, and it enables your providers to easily identify a specialist for their patient's needs and geographic location.
What is the PSN search tool?
Attracting Providers, Onboarding Providers, Engaging Providers, Evaluating Providers, Separating Providers and Network Management are all part of this
What is the Network Management Life Cycle?
Help deliver great care, support financial success and ease administrative burden
What are HCP's three pillars to help keep physicians independent?
The doctor is paid a fixed monthly amount upfront for each patient that he is assigned whether or not the patient is seen
What is Capitation?
An elite subset of the PSN comprised of physicians that have demonstrated operational and clinical excellence
Used to capture information from office visits and other encounters with providers
What is a doForm?
A resource filled with tools and information that helps ease the administrative burden for your providers and their office staff
What is the HCP website?
An arrangement by the insurance plan where some services are provided through a contract with a separate set of providers
What are carve out services?
Prior authorization must be obtained in advance by the PCP for all services performed by this type of specialist (unless during a medical emergency)
What is a non-psn specialist?
Although known on Long Island as the Police Athletic League, this phone circuit connects you directly to medical management resources 24/7
What is the PAL line?
This network turns one this month - offers vetted quality care that your providers can feel comfortable referring their patients to
What is the PSN?
Full Risk & Shared Risk
Name the two types of financial contracts that HCP has?
This recognizes and compensates,PCPs who predominantly work with PSN specialists offering care outside of the the hospital setting.
What is the PSN/Provider Incentive Program?
This department receives over 75,000 calls a month supporting members and providers
What is the Customer Engagement Center?