Our Services
SGPA is an organization of over 300 physicians that was organized in 1997 to provide medical and surgical care to citizens of South Georgia. SGPA member physicians must meet quality care criteria established by their peers. SGPA uses a Credentials Verification Organization certified by the National Committee Quality Insurance (NCQA), and the SGPA membership comes from all major specialties and sub-specialties.
Provides managed care contracting
Over 20 statewide and direct contracts that cover over 3 million Georgia lives.
Using a “messenger model” so physicians can choose which network they want to participate.
Contracts as a group. A network must accept all physicians. Physicians can not be terminated from a network without approval of the board.
Reviews all contract language to ensure physicians are protected from any adverse action.
Works directly in each community to ensure that employers and payers needs are met.
Contract directly with employers, TPAs’, state wide networks, and national networks.
Networks delegate credentialing to the SGPA.
Analyzes local and surrounding industry base
To identify the industry base in each community.
To identify the number of employees and total number of insured by industry.
To identify the insurance carriers or TPA that is used for each industry.
To identify the fully insured versus the self-insured industries.
To identify the decision-maker for each industry.
Education
Accurate and unbiased information about the healthcare market.
Online meeting for physicians and their staff.
Staff training and continuing education.
3,000,000+
Lives Covered
600+
Network Physicians
20+
Statewide Contracts
Facilitates the formalization of an IPA
Through experience
Legal documents
Office Education
Provides critical support to each practice
Fee analysis comparisons
Compliance manuals
Claims research and resolution
Network participation survey
Builds networks to protect rural physicians
Medicare health care plans
Medicaid health care plans
Commercial health care plans
Direct to employer contracting
Provides and continues to expand purchasing policies
Malpractice insurance
Directors and Officers Liability discounts
Office Practice Analysis
Clinical and office supplies