Washington's racked up more than $250 million in marijuana sales in the past year â roughly $62 million of which constitute marijuana excise taxes. That's beyond the state's original forecast of $36 million.
An independent practice association (or IPA) is a US term for an association of independent physicians, or other organization that contracts with independent physicians, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis.
Despite a perception that IPAs have been formed to negotiate as a group with insurance companies in an attempt to improve rates of compensation, under the Federal Trade Commission Act, they cannot negotiate as a group with insurance companies for the physician's other insurance reimbursement.