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Member Benefits

Member Benefits

Health and Benefits Trust

Group Purchasing Discounts

Training/Technical Assistance

Discounted Rate to KPCA Trainings

Advocacy

Networking and Peer-Learning

Provider Recruitment

Independant Practice Association (IPA)

AND MUCH MORE...

Health and Benefits Trust

We are able to provide member employers with access to a comprehensive benefits plan. We offer a range of health insurance plans through Anthem Blue Cross Blue Shield and Delta Dental, with options on vision and hearing benefits.

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Group Purchasing Discounts

The KPCA GPO offers discounts on supplies, products, and services needed every day by the clinics and providers. Our GPO is an entity that leverages the purchasing power of our group to obtain discounted pricing from vendors based on its collective buying power.

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    Training/Technical Assistance

It is our goal at KPCA to help Rural Health Clinics (RHCs), and Community Health Centers (CHCs) increase their awareness and competitiveness. Together with our partners, we bring strategic, practical, and skill-building training to all members.

[Option 1] FQHC, RHC, LPCC

  • Company Interest
  • Licensed with the state as a Primary Care Center, Rural Health Clinic or Federally Qualified Health Center (this will change to ‘Certified with HRSA as an RHC or FQHC’)
  • Access to apply for IPA membership
  • Access to Member Services
  • Member pricing for educational events and trainings
  • Access to the weekly and monthly newsletters and member information relating to operations and finance of practices as it arises.
  • Access to the member only resources
  • Packaging prices –
    • $500 - Less than $500,000 in operating expenses
    • $750 - $500,001 to $2,000,000 in operating expenses
    • $1000 - $2,000,001 or more in operating expenses

[Option 2] Organizational

  • Company Interest
  • Access to Member Services
  • Member pricing for educational events and trainings
  • Access to the weekly and monthly newsletters
  • Access to the member only resources
  • Packaging prices –
    • $200 - 0-25 Employees
    • $320 - 26 - 50 Employees

[Option 3] Individual

  • Personal Interest in issues related to primary health care.
  • Discounted member pricing for KPCA educational events and trainings
  • Access to the weekly and monthly newsletters
  • Packaging prices –
    • $20 per individual

Member Services

Organizational and Licensed members only

  • GPO (LabCorp, Quest Diagnostics, Henry Schein, McKesson, Medline, ViP which gives more discounts for Office Supply; Telecommunications discounts)
  • Language Line
  • UK MPPS, Medical Professional Recruitment Firms
  • KPCA Health & Benefits Trust: Access to Employer health insurance and benefits packages.
  • KPCA can also help practices with particular issues they have in billing/coding; Quality; reimbursement or getting through the regulatory process. The membership has a host of experts in particular areas helping other clinics overcome issues.

KPCA IPA Benefits

The Kentucky Primary Care Association operates a messenger-style Independent Practice Association (IPA), which contracts with Medicaid Managed Care Organizations, Medicare and commercial payors on behalf of KPCA members. The IPA aims to create a high performing preferred provider network with financially stable membership providing cost effective, high quality patient centered primary care.

IPA participating clinics can “opt in” (participate) or “opt out” (not participate) of any contract. Contracts KPCA negotiates include a range of incentives for quality, Patient Centered Medical Home (PCMH) recognition, control of medical services spending, as well as delegated credentialing to expedite enrollment with most health plans.  

The benefits of participating in the IPA:

  • Contracting with health plans for Medicaid, Medicare Advantage and commercial products
  • Negotiated rates and gain share opportunities
  • Pay-for-performance and pay-for-quality incentive programs
  • Delegated credentialing
  • Weekly communications to keep you up-to-date on contracts, incentives and other IPA issues
  • Online reporting of claims data for your organization
  • Training and technical assistance to help your practice maximize revenue and improve quality
  • Assistance with the 340B Rx program
  • The IPA supports a team of Quality Improvement Specialists who work directly with clinics to help them review HEDIS and incentive quality measures to help you achieve the targeted measures for incentive payments.

The IPA provides assistance on achievement of initial recognition and ongoing maintenance of PCMH through the Kentucky REC and through individualized consultation from a KPCA National Committee for Quality Assurance (NCQA) reviewer/expert for clinics.

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