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In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.
Secondary capitation is a relationship arranged by a managed care organization between a physician and a secondary or specialist provider, such as an X-ray facility or ancillary facility such as a durable medical equipment supplier whose secondary provider is also paid capitation based on that PCP's enrolled membership.
The most common managed care financial arrangement, capitation, places healthcare providers in the role of micro-health insurers, assuming the responsibility for managing the unknown future health care costs of their patients. Small insurers, like individual consumers, tend to have annual costs that fluctuate far more than larger insurers.
The International Phonetic Alphabet (IPA) requires specific names for the symbols and diacritics used in the alphabet. It is often desirable to distinguish an IPA symbol from the sound it is intended to represent, since there is not a one-to-one correspondence between symbol and sound in broad transcription.
When the IPA is used for broad phonetic or for phonemic transcription, the letter–sound correspondence can be rather loose. The IPA has recommended that more 'familiar' letters be used when that would not cause ambiguity. [13] For example, e and o for [ɛ] and [ɔ], t for [t̪] or [ʈ], f for [ɸ], etc.
ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to patients and third-party payers for the quality, appropriateness and efficiency of the health care provided.
The Extensions to the International Phonetic Alphabet for Disordered Speech, commonly abbreviated extIPA / ɛ k ˈ s t aɪ p ə /, [1] are a set of letters and diacritics devised by the International Clinical Phonetics and Linguistics Association to augment the International Phonetic Alphabet for the phonetic transcription of disordered speech.
The following is the chart of the International Phonetic Alphabet, a standardized system of phonetic symbols devised and maintained by the International Phonetic Association.