GLOBAL CARE MEDICAL GROUP IPA

What GLOBAL CARE MEDICAL GROUP IPA does

Global Care Medical Group IPA Inc is a private, physician-controlled Independent Physician Association incorporated in California in 1993, tracing its origins to a 1991 request from the California Department of Health Services to develop a Primary Care Case Management organization. The company operates a multi-site, multi-specialty managed care network across Southern California, particularly Los Angeles County, serving over 90,000 contracted patients through approximately 500 Primary Care Providers and 2,300 Specialty Providers. Its network includes contracted tertiary hospitals such as Cedars-Sinai Medical Center, Children's Hospital of Los Angeles, Miller Children's Hospital, and Providence Little Company of Mary, alongside affiliated community hospitals and urgent care centers spanning five Southern California counties.

The IPA generates revenue primarily through capitation payments received from contracted health plans, supplemented by fee-for-service reimbursement for non-emergent services requiring prior authorization. It operates across all major managed care lines of business including Medicare Advantage HMO (Health Net, Central Health Plan, Brand New Day), Cal-Mediconnect HMO (LA Care, Molina), Medi-Cal HMO (LA Care, Health Net, Care 1st, Anthem Blue Cross), and Commercial/Private Insurance HMO via Covered California and off-exchange (Blue Shield, Cigna, Health Net). Administrative services including utilization review, claims processing, eligibility verification, quality management, and provider relations are outsourced to MedPOINT Management under a full MSO contract. The technology platform is a MedPOINT Management web portal supporting provider authorization submissions and eligibility checks, with ancillary partnerships with Quest Diagnostics for lab services and RadNet for radiology. The company offers a Direct Referral Program allowing PCPs to refer to 19 specialty categories without prior authorization, with valid authorizations lasting 90 days.

Global Care is physician-controlled and directed, with no disclosed venture capital, private equity, or public market ownership. It is privately held and operates exclusively in the United States, with geographic concentration in Southern California. The organization's customer base spans the full participant spectrum of US managed care - from Medicaid beneficiaries and dual-eligible seniors to commercially insured individuals and Medicare Advantage members - making it a broad-access IPA serving California's most diverse healthcare market.

Name

GLOBAL CARE MEDICAL GROUP IPA

Legal name

Global Care Medical Group IPA Inc

Website

https://globalcaremedgroup.com

Company type

Private

Founded year

1993

Operating status

Operating

Headcount range

1–10 employees

Short description

Global Care Medical Group IPA is a private, physician-controlled Independent Physician Association in Southern California serving over 90,000 contracted patients through 500 PCPs and 2,300 specialty providers across Medi-Cal, Medicare Advantage, Cal-Mediconnect, and Commercial HMO plans, with administrative services managed by MedPOINT Management.

Ownership category

akta.pro rank

Product category

Managed Healthcare Services

NAICS

HMO Medical Centers (621491), Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro industry

PRIMARYHLAEAMAD

Independent Practice Association (IPA) Model HMOs

Healthcare & Life Sciences/Health Insurance & Managed Care/Health Maintenance Organizations (HMOs)

SECONDARYHLAFAGAE

Primary Care Networks, Groups & MSOs

Healthcare & Life Sciences/Healthcare Providers & Systems/Primary Care & Community Health Providers

Keywords

• Independent physician association
• Managed care services
• Medicare Advantage plans
• Medi-Cal health plans
• Physician network management

Headquarters

HQ city

Inglewood

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Capitation Payments: Global Care IPA receives capitation payments from contracted health plans for enrolled members. IPA financial responsibility varies by health plan for services including CHDP, DME, and other care management.
2. Fee-for-Service: FFS requests processed through Global Care Medical Group IPA for non-emergent services requiring prior authorization. Claims submitted via Superbill or HFCA 1500 form.
3. Capitation and Fee Schedule Reimbursement: Competitive capitation and fee for service reimbursement rates offered to participating providers. Timely claims processing for contracted PCPs and specialists.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels2 records

Core offering

Global Care Medical Group IPA is a multi-specialty Independent Physician Association that contracts with health plans to deliver managed care through a network of approximately 500 Primary Care Providers and 2,300 Specialty Providers serving over 90,000 contracted patients across Southern California. Its core offering is the operation of an integrated provider network delivering Medicare Advantage HMO, Cal-Mediconnect HMO, Medi-Cal HMO, and Commercial/Private Insurance HMO services, supported by a Direct Referral Program, utilization review, provider credentialing, and ancillary lab and radiology services.

Product overview

Global Care Medical Group IPA is a multi-specialty Independent Physician Association offering a comprehensive managed care network. The company operates a core IPA platform providing Medicare Advantage HMO plans (Health Net, Central Health Plan, Brand New Day), Cal-Mediconnect HMO plans (LA Care, Molina), Medi-Cal HMOs (LA Care, Health Net, Care 1st, Anthem Blue Cross), and Commercial/Private Insurance HMOs (Blue Shield, Cigna, Health Net). The offering includes integrated Direct Referral Programs for specialist access, Utilization Review Services for prior authorizations, contracted Provider Credentialing, and ancillary services through Quest Diagnostics (lab) and RadNet (radiology). The network spans 500+ Primary Care Providers, 2,300+ Specialty Providers, multiple urgent care centers, and affiliated hospitals including tertiary facilities like Cedars-Sinai.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare Advantage HMO Plans Medicare Advantage HMO health plans for seniors 65 and older or people under 65 considered fully disabled and receiving Medicare benefits. Product lines include Health Net, Central Health Plan, and Brand New Day.
• Cal-Mediconnect HMO Plans Cal-Mediconnect HMO plans for dually eligible Medicare and Medi-Cal recipients (Medi-Medi). Available through LA Care and Molina.
• Medi-Cal HMOs Medi-Cal HMO plans for lower income individuals and families. Available through LA Care, Health Net, Care 1st, and Anthem Blue Cross with year-round enrollment.
• Commercial/Private Insurance HMOs Commercial and private insurance HMO plans offered through Covered California (on-exchange) or directly through health plan carriers (off-exchange). Available through Health Net, Blue Shield, Cigna, LA Care, and Molina.
• Direct Referral Program Program allowing primary care physicians to directly refer patients to specialists for initial visits without prior authorization. Covers cardiology, dermatology, endocrinology, otolaryngology, ophthalmology, immunology, pulmonology, podiatry, OB-GYN, urology, orthopedic, plastic/reconstructive surgery, gastroenterology, neurology, surgery, nephrology, infectious diseases, hematology/oncology, and rheumatology. Authorization valid for 90 days.
• Utilization Review Services Prior authorization services for routine and urgent requests including inpatient/outpatient services, advanced imaging (MRI, CT, PET/CT), and DME. Routine authorizations processed within 5 business days; urgent authorizations within 72 hours.
• Provider Credentialing Primary source credentialing for participating providers including verification of malpractice carriers, state licensing boards, and National Practitioner Data Bank. Free credentialing with no cost to join.
• Lab Services (Quest Diagnostics) Contracted laboratory services through Quest Diagnostics. Lab work does not require prior authorization except for chromosome testing. Also contracted for BRCA Gene testing.
• Radiology Services (RadNet) Contracted outpatient radiology through RadNet freestanding facilities. Direct referrals for diagnostic X-ray, fluoroscopy, mammography, and ultrasound. Prior authorization required for MRI, MRA, CT, DEXA, nuclear medicine, and PET/CT.
• Urgent Care Centers Network Network of urgent care centers across Southern California (Los Angeles, Orange, Ventura, San Bernardino, and Riverside counties) providing 7-day service with extended hours.
• Hospital Affiliations Network Contracted hospital network including primary, secondary, and tertiary facilities. Tertiary hospitals include Cedars-Sinai Medical Center, Children's Hospital of Los Angeles, Miller Children's Hospital, and Providence Little Company of Mary.

Named customers9 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Partnerships

Eleven partnerships are on record, tiered core and key.

• MedPOINT ManagementcoreStrategic or Co-development PartnerMedPOINT Management provides all administrative services for Global Care including Utilization Review Services, Claims, Eligibility, Health Plan Benefits, Quality Management, Grievances and Provider Relations. They operate the provider web portal and manage the managed care infrastructure. GC is MSO contracted with MedPOINT Management.
• Quest DiagnosticscoreTechnology or IntegrationContracted laboratory provider for all members. Lab work does not require prior authorization (except Chromosome Testing). Quest also contracted for BRCA Gene testing. Contact: 866-697-8378.
• RadNetcoreTechnology or IntegrationContracted outpatient radiology provider for RadNet free-standing facilities. Provides Utilization Management services for advanced imaging (MRI, MRA, CT, DEXA, Nuclear Medicine, PET/CT). All non-emergent requests require prior authorization through MedPOINT portal.
• LA Care Health PlancoreChannel Partner/ Reseller/ DistributorGlobal Care contracted provider network for LA Care Medi-Cal and Cal-Mediconnect HMO plans. Dual risk arrangements for Medi-Cal with Alta Hospital Systems.
• Cedars-Sinai Medical CenterkeyStrategic or Co-development PartnerTertiary hospital affiliation for IPA enrollees requiring specialized inpatient care. Part of top-tier facility network including Children's Hospital of LA, Miller Children's Hospital, and Providence Little Company of Mary.
• Children's Hospital of Los AngeleskeyStrategic or Co-development PartnerTertiary hospital affiliation for pediatric care services. Part of contracted tertiary hospital network.
• Southern California Hospital at Culver CitycoreStrategic or Co-development PartnerAffiliated hospital with dual risk for Medi-Cal Health Net. Major contracted hospital in the network.
• Centinela Hospital Medical CentercoreStrategic or Co-development PartnerMajor affiliated hospital in the Global Care contracted hospital network serving Los Angeles County.
• Health NetcoreChannel Partner/ Reseller/ DistributorContracted health plan for HMO Commercial, Medi-Cal, POS and Salud Con products. Available through both on-exchange (Covered California) and off-exchange enrollment.
• Molina HealthcarecoreChannel Partner/ Reseller/ DistributorContracted health plan for HMO EAE D-SNP and Medi-Cal plans. Cal-Mediconnect option available for dually eligible recipients.
• Blue Shield of CAcoreChannel Partner/ Reseller/ DistributorContracted health plan for HMO Commercial and POS products. Available on-exchange and off-exchange.

Scale indicators4 records

Recent moves8 records

Expansion highlights4 records

Direct peers

• Regal Medical Group: Southern California IPA operating under delegated capitation with major health plans including Health Net, Blue Shield, and Anthem. Directly comparable physician network structure and product mix.
• Axminster Medical Group: Independent physician association serving Los Angeles County under delegated capitation contracts with major health plans. Directly comparable IPA structure and patient demographics.
• Allied Pacific of California IPA: Physician-led IPA with significant Southern California presence contracting with major health plans under capitation. Comparable in governance model and delegated managed care operations.
• Lakeside Medical Group: Independent Physician Association serving Southern California with delegated capitation contracts across Medi-Cal, Medicare Advantage, and Commercial HMO products. Comparable IPA structure and patient population.
• Heritage Provider Network: Large California IPA organization that contracts with PCPs and specialists under delegated capitation arrangements. Operates in overlapping Los Angeles County markets with similar HMO, Medicare Advantage, and Medi-Cal product lines.
• Pioneer Provider Network: Independent physician network operating under delegated capitation contracts across Southern California. Comparable IPA structure serving Medi-Cal, Medicare Advantage, and commercial populations.
• Prospect Health (Prospect Medical Group): Multi-specialty medical group and IPA operating in Southern California with HMO, Medicare Advantage, and Medi-Cal risk arrangements. Comparable provider network and capitation-based model.

Broad incumbents

• Kaiser Permanente Southern California: Vertically integrated, staff-model HMO that competes for the same Medi-Cal, Medicare Advantage, and Commercial members in Southern California. Not a direct IPA peer but a major competitive force shaping capitation terms and provider recruitment.
• DaVita Medical Group (now Optum): Former independent physician group acquired by Optum; provides comparable multi-specialty delegated managed care services in Southern California markets. Now part of the same broader Optum footprint as HealthCare Partners.
• HealthCare Partners (Optum): The largest IPA-style medical group in Southern California, now part of Optum. Directly comparable as a multi-specialty physician network managing delegated capitation risk for HMO and Medicare Advantage members across LA County and beyond.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/global-care-medical-group-ipa

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about GLOBAL CARE MEDICAL GROUP IPA