MSO Frequently Asked Questions

What if I belong to an MSO already?

Many physicians aren’t aware that they can be part of multiple MSOs. For instance, a physician can have Medicare Advantage lives with three different insurance plans and thus may be participating in three MSOs independent of one another. You can maintain your relationship with some or all of your currently existing MSOs.

Is there a fee to join?

NO

How is the group governed?

There is a governing board of member doctors who will act in the best interest of the MSO and its members. The board is a rotating position such that any physician wishing to participate may elect to do so, if selected. There is no compensation for this role.

How do I join?

Our MSO is looking for physicians who believe in quality care and understand how to manage risk. Membership in PremierMD MSO is by invitation and based on measurable industry standards such as MRA, MLR, generic prescribing, and HEDIS measurements.

How will I make money in the MSO?

As with any Medicare Advantage plan, you may have capitation, partial, or full risk plans. In certain circumstances, we will increase your capitation amount. In other circumstances such as the risk model, you will receive bonuses based on performance as well as distributions from the MSO as a shareholder. Unlike current non-physician owned MSO’s, we have “cut out the middle man” and allowed our members to either receive higher PMPM rates or enjoy profit distributions from the MSO and in some cases both.

Is there a restriction for leaving the MSO?

NO

Can I leave the MSO whenever I want?

YES, just by giving 90 days’ notice.

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