Belonging to an IPA that collectively owns the contracts and controls the money is better for you.
The Provider Agreement was carefully constructed so IECC could never be mistaken as an insurance company. The agreement clearly states that Participating Providers get all the collected revenue and no more. If a payor fails to pay and we are unsuccessful in recovering obligated funds, the Providers have no recourse against IECC or her assigns. If our marketing agent underestimates the costs involved in providing the contracted services, the Provider has no recourse against anyone and is obligated by their agreement to provide the services promised for whatever revenue is available.
The Participating Provider is personally at risk, not IECC or any of their assigns. However, they are only at risk for the patients they see. Each Member-Provider has agreed to provide eye or vision care services to the extent of the services they choose to offer or are made available under each contract’s scope of services regardless of how much they get reimbursed through Eyetopia TPA.
“You get all the money, but you only get all the money.”
The graph shows the advantages and potential disadvantages of owning your own contracts. Since 1996 we’ve proven the reward is worth the risk. As eye care reimbursements continues to plummet to plan X reimbursement levels, IECC has the power to replace Plan X with contracts more lucrative to their IPA Membership.
IECC Members collectively own all the risk bearing contracts, which generates higher Provider incomes than traditional fee schedules.
Our vision care contracts continue to provide the highest reimbursement per patient – Going on 18 years we have never lost our challenge to pay anyone $500 who attempts to prove otherwise.
We offer the most dynamic, yet simple and economical (available to CF35) Patient Retention Program in the State of Texas.
Eyetopia Optics vendors and programs increase income per patient allowing IECC Members to work smarter not harder.
This delivery system is structured to reduce the downside risk of contracting directly with the payor while taking advantage of the upside profitability of removing the cost of middlemen. We have successfully improved income to patient ratios since 1996 and with your participation and active support we can continue this course into the future.
When we have a surplus, the IPA can either put the extra funds in reserve or distribute at a premium. In this example the reserve is $5,700 or the increase in reimbursement would be 6.04%
Collected from Clients
When we have a short fall the IPA can either pull needed funds from reserves or distribute at a discount. In this example the short fall to pull from reserves is $15,900 or the discounted reimbursement would be –13.72%
Collected from Clients