Our Services
Merit IPA was formed in 2013 and is an organization of over 135 physicians representing over 25 independent practices and 20 specialties. Merit member physicians must meet quality care criteria established by their peers and uses a Credentials Verification Organization certified by the National Committee Quality Insurance (NCQA).
Provides managed care contracting
Over 20 statewide and direct contracts that cover over 3 million Georgia lives.
Using a “messenger model” so physicians can choose which network they want to participate.
Contracts as a group. A network must accept all physicians. Physicians cannot be terminated from a network without the approval of the Executive Committee or Board.
Reviews all contract language to ensure physicians are protected from any adverse action.
Contract directly with employers, TPAs’, statewide networks, and national networks.
Networks delegate credentialing to Merit IPA.
Analyzes local and surrounding industry base
To identify the industry base in each community.
To identify the number of employees and total number of insured by industry.
To identify the insurance carriers or TPA that is used for each industry.
To identify the fully insured versus the self-insured industries.
To identify the decision-maker for each industry.
Education
Accurate and unbiased information about the healthcare market.
Online meeting for physicians and their staff.
Staff training and continuing education.