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.
Physicians join together as an IPA. The IPA negotiates physicians' contracts with HMOs. An IPA can make contracts with multiple HMOs, while the physicians maintain independent medical practices, separate from all other IPA physicians' practices. IPA physicians also treat other patients not insured by HMOs.