CPC Qualicare / DocWeb | Doctor's Online resource for South African Doctors CPC Qualicare / DocWeb | Doctor's Online resource for South African Doctors
The official website of CPC/Qualicare IPA

May 2012 Newsletter

Untitled Document

Who’s who in the IPAF Zoo?

If you are a member of the CPC/Qcare doctors network, then you are also automatically a member of  :
The South African Managed Care cooperative Coalition ( SAMCC)
And of
The Independent Practitioners Association Forum (IPAF)


SAMCC enjoys the membership of 2,300 GPs , and comprises the following IPAs :
CPC/Qualicare ( Western Cape)
KZNMCC (Kwazulu)
ECIPA( Eastern Cape)
BIPA(Border)
GMCC (Gauteng)
Goldfields ( Gauteng)
Gordonia (N Cape)


The IPA Foundation comprises 4 Founder IPA Groupings namely :
SAMCC
ASAIPA
SP Net (representing the SAMDP)
GPMG 


Collectively ,IPAF speaks for over 3,500 GPs, and is the most unified , and well run GP grouping in RSA bringing to the table the expertise of running IPAs for the past 20 years.


IPAFs offices are housed in Gauteng ( OPS, run from the offices of ASAIPA) and in the W Cape (FINANCES, run from the offices of CPC/Qcare).
Office bearers include:
Prof M Chetty (Chairman)
Dr L Visser (CEO)
Dr T Behrman(Treasurer)
Dr E Nkosi ( Secretary to the BOD)
Dr D Dyer
Dr M Govind


IPAF’s structure is a Section 21 Company, and its stated aim is to improve the position of all GPs but with special reference to the GP members of its constituent IPAs  and to generate cost savings for the patients , whilst maintaining and excellent quality of healthcare delivery. Enhanced consultation fees in return for Peer review, Peer Management and Peer mentoring has been universally accepted as a constructive, fair, non-perverse manner with which to reward our practitioners for practicing ever increasingly good medicine.

 
The Central Peer Review Committee of IPAF has 2 decades of experience and has earned the trust of the Medical Profession and Funders alike using profiling and peer review information generated and managed by Care Gauge. This latter organization has delivered high quality information and is able to generate profiles independent of any possible Funder or Provider bias.


Prior to the formation of IPAF  the members of the IPAF BOD and their constituent IPAs and members were sensitized to Peer review and peer mentoring by way of their understanding and implementation of Medscheme’s REPI. Tool.


There is NO COST to joining into IPAF which operates on an : “Any Willing Provider” basis. We firmly believe that , as IPAF we will work with all practitioners who embrace our model , irrespective of IPA affiliation. Peer review, management and mentoring must however be done in a consistent, transparent ,constructive and reproducible manner; hence our insistence that it be done by IPAF for all GPs who elect to participate in our enhanced remuneration model.


GPs who are members of the major IPAs of IPAF will also receive a further enhancement of the consultation fee for Peer review etc in recognition of the ease with which we can communicate with them through the integrated structures within IPAF versus unaffiliated doctors, who will not receive this payment.


IPAF  currently is working with :
Bankmed
Discovery
Metropolitan health Group
Medscheme
Universal
Agility
Bestmed (In Process) 


IPAF is the definitive choice for Medical Aids wanting to get the best out of its GP population, whilst simultaneously rewarding them for excellence in medicine. With the exception of low cost options, which the IPAF also feels duty bound to service, due to our strong social commitment to all South Africans, the enhanced fees paid to its Members for Category 2 profiles ranges from R 252.00 to R 269.00. Category 1 doctors will earn between R 255.00 and R 331.00.

2012 Fees for IPAF Doctors

Currently the following enhancements to consultation fees are achievable by IPAF affiliated GPs:

A)

MEDSCHEME

GEMS

MEDIHELP NECESSE

BANKMED

METROPOLITAN:  BP MED & SAPPI

DISCOVERY

MOMENTUM

PROFMED

OTHER GENERAL MEDICAL AIDS

B)

 MEDSCHEME

CATEGORY I

CATEGORY II

CATEGORY III

AECI:

331.50

280.50

255.00

BMW:

280.50

267.80

255.00

BONITAS:

288.20

271.60

255.00

FEDHEALTH:

280.56

267.80

255.00

MB MED:

276.20

265.60

255.00

SASOLMED:

305.00

290.00

255.00

WITS:

281.80

269.00

256.2

XSTRATA:

280.50

267.80

255.00

GEMS - (ENHANCED FEE WILL BE PAID EXTRA ACCORDING TO REPI PROFILE)

RUBY,EMERALD,ONYX

258.90

  

 

SAPPHIRE & BERYL

CATEGORY I

CATEGORY II

CATEGORY III

DISPENSING

263.43

252.76

230.36

NON-DISPENSING

198.37

198.37

184.50

MEDIHELP NECESSE 2011

021-3342000

  

CATEGORY I

CATEGORY II

CATEGORY III

NON-DISPENSING

IPA

180.00

171.00

163.00

NON-IPA

171.00

163.00

163.00

DISPENSING

IPA

255.00

251.00

243.00

NON-IPA

251.00

247.00

243.00

BANKMED

NON-CONTRACTED

IPA

NON-IPA

CONSULTATION

257.40

304.80

280.40

PHA

-

180.62

180.62

HCT

-

212.00

212.00

IMMUNISATION

ONCOLOGY

METROPOLITAN

NON-CONTRACTED

IPA

NON-IPA

BP MED

207.00

285.00

272.00

SAPPI

255.00

280.00

267.00

DISCOVERY

GP NETWORK

NON-NETWORK

DISCOVERY

300.00

277

ALTRON

300.00

277

ANGLOVAAL

300.00

277

TFG

300.00

277

IBM

300.00

277

LA HEALTH

300.00

277

LONMIN

277.00

277

MMED (NASPERS)

300.00

277

N OPTION (NASPERS)

300.00

277

QUANTUM

300.00

277

REMEDI

300.00

277

RETAILS

300.00

277

TSOGO SUN

300.00

277

UKZN

300.00

277

MOMENTUM

CATEGORY I

CATEGORY II

CATEGORY 3-5

310.00

280.00

260.00

PROFMED

305.00

OTHER GENERAL MEDICAL AIDS (Compare the SAMCC tariff list for 2012 – version 4)

BETWEEN

251.80  AND 258.70

 

Last modified on Sunday, 17 February 2013 14:35

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