The Difference between IPA and MSO?

What is the main point of dissimilarity between an IPA (Independent Providers’ Association) and an MSO (Management Service Organization)? There seems to be a lot of confusion and the two terms are often used interchangeably.

An IPA is a coming together of providers to collectively provide health plans with the opportunity to connect with multiple practices at the same time notwithstanding that participation is voluntary and negotiations may be separate between each practice and the plan. There are special "safety zone" rules that allow certain communications between competing practices and the use of a common IPA or consultant that IPA members can take advantage of collective bargaining or even communications without a proper IPA vehicle and appropriate procedures can create serious anti-trust issues and should be avoided. An IPA is a contracting entity – it holds managed care contracts and develops a provider network to service the contract.

An MSO is an organization that improves the efficiency of a health care practice or entity and can serve as a management platform. The Corporate Practice of Medicine regulations dictates that only a licensed health care provider can practice medicine and may not be unduly influenced by financial or any other considerations. An MSO can do almost anything for a health care concern except practice medicine if it is not being rewarded for providing patients in exchange for compensation. An MSO is a management company that manages practices.


Often, the two words IPA and MSO are confused between each other. It is important to understand the subtle differences between the two.

Having said this, an IPA can be an MSO, i.e., do anything that helps in improving the efficiency of a doctor’s office, say, help with billing, contracting, records management, compliance or quality reviews, care management, etc.

An MSO can also function as an IPA if it signs up affiliate practices or hires providers and brings them under one umbrella under its Tax Identification Number as an entity that can contract with various payers or insurance companies.

Any MSO or IPA and its members/clients should be careful to assure knowledge of the state and federal laws that govern these relationships, and that there will be compliance by all parties thereto. I am grateful to Alan Gassman, Esq for valuable input and insights into this complex issue.

At Access Health Care Physicians, LLC, we offer comprehensive primary healthcare for individuals and families of all ages, genders, diseases, and conditions. Access Health Care Physicians, LLC is a group of medical practices united around the theme of excellence in general practice.

They are a group of doctors, nurses, and allied health professionals who work together to provide the best and most complete primary care. Recruiting health professionals for Access Health Care Physicians, LLC strives to find people who are not only well trained but have a passion for caring for others.

Location: 14690 Spring Hill Dr, Spring Hill, FL 34609, USA

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