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Join Our Prospect Medical Systems Team

Prospect Medical Systems manages highly successful independent physician associations (IPAs) by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.

Prospect Medical Systems has demonstrated its ability to manage costs responsibly and effectively without compromising quality of care. Leveraging our best-practice, results-driven administrative services for our primary care and specialist physicians, Prospect delivers value to our members and providers.

With the ownership of 16 hospitals by our parent organization we are highly experienced in provider-hospital partnerships and in the optimization of this critical relationship.

Providers interested in joining the medical staffs of any of our 16 hospitals, can reach out to the medical staff by clicking on the links at the bottom of this page.

Why Participate in an IPA?

For physicians, our independent practice associations (IPAs) offer a number of benefits such as reduced administrative burden, greater efficiency, and a steadier revenue stream—all while continuing to practice independent medicine. Prospect Medical Holdings owns and manages highly successful IPAs by leveraging our best-practice, results-driven administrative services to manage patients under risk arrangements with health plans and the Centers for Medicare & Medicaid Services (CMS). We have a proven track record of effectively managing costs without compromising quality of care.

Being part of an IPA also means gaining a competitive advantage through enhanced access to managed care contracts and contracts with hospitals. Our medical groups have established formal partnerships with 24 health plans and 26 hospitals. Given that our parent organization owns 16 hospitals, we are highly experienced in provider-hospital partnerships and the optimization of this critical relationship.

Our Prospect Medical Group services for independent physicians include:

• Comprehensive, state-of-the-art medical management for care at home, transition of care
• Risk stratification
• Provider relationship management
• Credentialing
• Contracting (health plan and provider)
• Claims adjudication
  • Customer service
  • RAF/quality optimization programs
  • Financial services
  • Compliance
  • Sophisticated, user-friendly systems portals and data analytics
  • In-network retention and utilization control

Management Services Organizations 

For independent practice associations (IPAs) outside of our organization, Prospect Medical Systems offers the same non-medical and administrative services that we provide to our owned and managed IPAs. As a management service organization (MSO), we help our IPA clients grow their business, not just manage their existing lives.

Prospect Medical Holdings oversees 28 successful IPAs in five states. The network includes over 20,000 primary care and specialist physicians who care for about 600,000 members. We have more than two decades of experience in providing “turn-key” operations for our own IPAs—and a growing number of external clients—with integrated management services. As a result, both high-quality care and cost savings are realized by providers, patients, and payers alike.

Smaller groups often lack the resources, staff, and infrastructure to cover the additional overhead costs involved in daily operations. We assist IPAs with the following services:

• Claims processing
• Referral processing
• Contracting
• Auditing
• Payment disputes
• Financial services and reporting
• Network management
• Member services
• Information systems and tech support
• Case management
• Utilization review
• Credentialing
• Hierarchical Condition Coding and Pay for Performance (P4P) training
• Strategic planning

From small practices with several doctors to large organizations with hundreds of doctors, MSOs can be a valuable strategy to create economies of scale and cost savings while maintaining independence. We at Prospect Medical Systems go a step further by assisting our IPA clients with business development strategies to create opportunities for dual-eligible conversions, primary care physician recruitment, and ethnic market development.

We also can create marketing collateral aimed at increasing the visibility and awareness of the managed group. 

All in all, Prospect Medical Systems allows doctors to do what they do best: care for patients.

Prospect Medical Systems - By the Numbers

Prospect Medical Systems provides:

• Coordinated care model to drive higher quality/improve outcomes/lower costs
• Economics of scale resulting in better client costs
• Compliance with all state audits and health plan audits/guidelines
• Manages professional and institutional risk for multiple payers
• Extensive physician alignment and healthcare data expertise
• Experience with all insurance products, including commercial, Medicare, Medicaid, PPO and ACO
• Successful transformation and expansion into new markets

Key facts:

• 28 IPAs in five states: California, Connecticut, Pennsylvania, Rhode Island and Texas
• More than 600,000 managed members
• More than 20,000 primary care and specialist doctors
• Ownership of 16 hospitals via Prospect Medical Holdings
• Successful culturally focused networks (Korean, Latino, Vietnamese, etc.)
• West and East Coast operations
• America’s Physician Groups Elite status for nine years in a row
• Admits/cases below Milliman guidelines

Services include:

• Comprehensive, state-of-the-art medical management for care at home transition of care and risk stratification
• Provider relationship management
• Credentialing
• Contracting (health plan and provider)
• Claims adjudication
• Customer service
• RAF/quality optimization programs
• Financial services
• Compliance
• Sophisticated, user-friendly systems portals and data analytics
• In-network retention and utilization control

Our results include 7.1 percent readmission rate, 3.5 Medicare LOS, 90 percent generic prescribing rate, and 2.3 percent abandonment rate for member calls.

Contact Us

Those interested in joining Prospect Medical Group, based in Orange County, can email or call (800) 708-3230 or (562) 583-5802.

Physicians interested in joining the medical staffs at our various hospitals can contact the medical staff offices at each facility:

CharterCARE Health Partners: Physician Careers

Crozer Health: Physician Opportunities

Eastern Connecticut Health Network: Physician and Advanced Practitioner Opportunities

Foothill Regional Medical Center: (714) 619-7740

Los Angeles Community Hospitals at Bellflower, LA and Norwalk: (323) 881-2647

Southern California Hospitals at Culver City, Hollywood and Van Nuys: (310) 836-7000 ext. 4711

Waterbury HEALTH: Physician Careers