CPC/Qualicare (CPC/QC) is the largest and most effective self-sustaining, Independent General Practitioner Network in the Western Cape Province since 1990. CPC/Qualicare is exclusively doctor owned and managed. CPC/Qualicare’s experienced consultants provide the vital link between your Practice, the Company and the Medical Industry.
CPC/QUALICARE OFFERS THE FOLLOWING MEMBER ADVANTAGES:
AREAS OF COVER
CPC/Qualicare covers the entire Western Cape Province from Beaufort West in the North East to Lutzville in the North through Cape Town to Agulhas in the South, Plettenberg Bay in the East and everywhere in between.
BUSINESS MANAGEMENT SEMINARS
CPC/Qualicare runs interactive business seminars for doctors, their receptionist, practice managers and any other interested parties in the various medical fields.
CENTRE FOR DIABETES AND ENDOCRINOLOGY (CDE)
Every CPC/Qualicare doctor is entitled to contract with the CDE to see diabetic patients at a preferential rate. CPC/Qualicare facilitates reduced cost CDE training seminars for our members.
CONTRACTING WITH FUNDERS
CPC/Qualicare abides by the HPCSA ethical regulation of “All Willing Providers”. CPC/Qualicare members are therefore fully entitled to all of the CPC contracts and benefits. Contractual benefits are, of course, available to non-members as well; they however do not enjoy the support of the consultants nor of the IPA or its infrastructure.
CPC TRAVELLING CONSULTANTS
We have 6 highly experienced staff on the road, daily, visiting members and addressing their problems, from Medical Aid late payments, difficulties with getting the right person to listen, at Funder level, to the newest info on formularies, dispensing and algorithms. They see each member every 2 - 3 months, but also contact members regularly by e-mail or phone. Distant members are seen 2 - 3 times a year.
CPC/Qualicare is committed to assist doctors in obtaining their required CPD points. By attending our CME evenings throughout the year as well as the CME Open Day you are assured of at least 75% the requisite points for the year. We run 3 major CPD Accredited Conferences as well as provide CD’s with ‘articles & questions’ to generate further CPD points.
The CPC/Qualicare website, www.docweb.co.ca, possesses very important generic downloads including:
- Specimen Locum Contract
- Specimen Employee/Employer Contract
- PMB Beneﬁts
- PMB Algorithms
- COIDA forms
CPC/Qualicare is a founder member of the IPA Forum with Medscheme and is a source of contracts for Bonitas, AECI, Xstrata, MB Med, Fedhealth, etc.
CPC/Qualicare through it’s membership of the SAMCC is one of the founder members of the IPA FOUNDATION, established to harmonise Value, Cost, Quality via Profiling, Peer Review, Augmented consultation fees and Network Management.
CPC/Qualicare has been crucial to the roll out of every managed care rollout in the Western Cape Province. Interaction with CPC/Qualicare and our consultants ensures that your practice remains up to date with the latest requirements from managed care.
MANAGED CARE CONTRACTS: PERUSAL OF
CPC/Qualicare possesses the skills to analyse managed care contracts in detail. All members are encouraged to approach the IPA with any new managed care contracts in order to ensure that you are maximally protected from shady small print. Please be advised to send your contracts to the CPC/Qualicare Office for a free non-binding opinion.
We distribute essential information (with your consent upon joining) via mass e-mail as your consultants can only physically visit you every 2-3 months. We use mass email which is a fast and cost effective form of communication between the IPA and you, the member. We also offer our Shareholders and Members run a free mass email advertising service to find locums, sell or buy practices etc. We strive to keep you informed at all times, but rely on you to log onto your computer and onto www.docweb.co.za DAILY. CPC will only e-mail you important matters and will never clutter your e-mail with unnecessary spam.
CPC/Qualicare has access to mass sms facilities which are used in the event of extremely urgent news which is beamed directly to your cell phone. This is a free service to members & only done with your consent
MEDICAL AID DEFAULT PAYMENTS
CPC/Qualicare consultants have vast personal experience with the internal workings of the medical aid payment mechanisms. Paid up members are welcome to submit problem accounts to us in batches for elucidation and submission to key persons within funder organizations. We have achieved remarkable results for doctors who have battled with their medical aid reimbursement.
MEDICAL AID INFORMATION SHEETS
CPC/QC compiles annual “summary sheets” to inform members (who do not yet charge cash) of the amounts the different medical aids are offering. IPAF compiles these tariffs from advices received from Funders. Neither Qualicare, nor IPAF negotiates, accepts or prescribes tariffs, and it is each individual member of IPAF’s prerogative to decide on their own tariffs and / or contracts.
MEDICAL FUNDER LIAISON
Through constant negotiations CPC/Qualicare has secured sound working relationships with numerous funders and administrators including Bankmed, Medscheme [GEMS: Ruby/Emerald/Onyx (REO) & Beryl & Sapphire (B & S), AECI, Bonitas, BMW, MB Med, Sasolmed] Bestmed, Polmed, Medshield, Medihelp, CDE and CAMAF.
CPC offers the facility of communicating to doctors in the event of important meetings arranged by the commercial sector.
The CPC/Qualicare Network of GPs will be the natural choice for Provincial and National NHI initiatives. We remain up to date with analyses of NHI, the Medical Schemes Amendment Act and the Health Market Inquiry (HMI)
Open Days which is held at Bellville, George and Worcester. Members enjoy a 45% reduced attendance fee.
PEER REVIEW TRAINING
CPC/Qualicare runs 2 training courses to teach doctors how to become Peer Review Officers. Speak to your regional Consultant in this regard.
Peer-To-Peer Management and Peer evaluation and Peer Review are an integral part of the services we offer our members. Our Peer Mentor Officers have been instrumental in assisting doctors with all aspects of the review process over the past 3 years. CPC/Qualicare practitioners are highly rated in peer activity. CPC will assist you should your practice fall out-side of National norms, should you wish us to be involved.
PERFORMANCE BASED RE-IMBURSEMENT (PBR)
Pay for Performance (P4P)
CPC/Qualicare continues (via the SAMCC and IPAF) to interact with Medical Aids which offer Performance Based Reimbursement Models. We have your interest at heart to ensure FAIR PEER PROFILING AND PEER REVIEW. CPC/Qualicare leads the field in FAIR PEER to PEER management.
POINT OF SERVICE MACHINES:
- Ambulatory 24hr Blood Pressure Machines
- Accu Trend GC Machines (blood sugar & cholesterol)
- Blood Uric Acid Machines
The above point of service machines are available on a 1 month loan basis to any CPC/Qualicare members to run Awareness Programs in their practices, thereby attracting extra feet through the doors whilst serving the public.
PRACTICE STATIONERY (free prescription pads / sick certificate pads / specialist referral pads / appointment cards - subject to availability)
CPC/Qualicare supplies its doctors with free stationery, including prescription pads, sick certificates, referral pads and appointment cards per month. The commercial value of this is currently in excess of R281.75 including VAT / month and represents a significant saving to your practice and offsets membership fees by over 70%.
PROMOTIONS AND LAUNCHES
CPC/Qualicare is frequently used by a variety of companies to launch new products. IPA membership ensures the latest information will reach you as well as invitation to social functions.
PUBLIC PRIVATE SECTOR INTERFACE
CPC/Qualicare is closely allied to all PPP initiatives. CPC/Qualicare was a foundation member of the SAMCC. CPC/Qualicare is therefore fully appraised of the latest developments in managed healthcare.
Our monthly edition is in electronic format and is packed with relevant and often crucial information on a variety of issues. The newsletter is a confidential document for CPC/Qualicare members. We welcome articles and news from all our practitioners. The newsletter has a free classified section, which is available to members at no charge to advertise for anything related to their practices like locums needed, staff vacancies, etc.
STANDARD PATIENT REGISTRATION FORM
Standard patient registration forms have been devised which includes the most relevant information from each new patient who registers with your practice. This information will greatly reduce your bad debt risk as well as assist you in keeping track of your patient's whereabouts, see www.docweb.co.za
SOUTH AFRICAN MANAGED CARE CO-OPERATIVE
CPC/Qualicare is a foundation member of the SAMCC. CPC/Qualicare is therefore fully appraised of the latest developments in managed care as well as fee for service based medicine in South Africa.
WHOLESALERS OF CHOICE
CPC/Qualicare is actively involved in assisting doctors with opening accounts with Norpharm. Our consultants are a conduit for any problems you may experience at Norpharm. Norpharm runs regular specials as over the counter items for Qualicare Members. UPD has recently re-joined CPC/Qualicare as a national Wholesaler.
The Qualicare website is the most comprehensive communication tool that you have at your disposal. The latest is readily available at the click of a mouse. All relevant news and updates are readily viewable, forms and legal contracts are available as downloads.