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According to The Joint Commission, a licensed independent practitioner is any individual permitted by law and by the organization to provide care and services, without direction or supervision, within the scope of the individual's license and consistent with individually granted clinical privileges.n a set of standards, The Joint Commission says that it does not determine whether a practitioner is a licensed independent practitioner but defers to state law for that determination.
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.[1][2]