Huron Valley Physicians Association ( HVPA ) was incorporated in 1983 as an Independent Physician Association ( IPA ). HVPA has over 700 physician members located in Washtenaw, Livingston, Lenawee, and Western Wayne counties. Approximately 25% of our members are primary care physicians and 75% are specialists. HVPA activities are closely tied to the Saint Joseph Mercy Health System ( SJMHS ), a member of the Trinity Health System. HVPA has organized hospital-owned and privately-owned practices into a single organization. Primary and specialty care physicians are represented on various councils and committees for business and quality improvement initiatives. As an IPA, HVPA has the ability to negotiate network-based contracts. HVPA believes network-based contracting is critical to maintaining and enhancing the collective strength and long-term viability of independent physicians. By Health plan Employer Data and Information Set ( HEDIS ) measures, HVPA has scored among the highest performing physician groups in the nation and our growth in pharmacy expenditures has been at or below the national average. HVPA physicians' dedication to high quality care and population management was a major contributing factor in Care Choices ( now Priority Health ) recent clinical excellence recognition by the National Committee for Quality Assurance ( NCQA ). HVPA continues to strive for service excellence in patient-centered care with its disease registries, e-prescribing, quality and utilization initiatives, and pharmacy management.