What does the future of medicine look like? How will independent physicians shape their destiny and influence the unfolding future of healthcare in a marketplace buffeted by often sharply competing interests, massive regulations, radical new healthcare technologies, and profound institutional ambiguity about the physician-patient relationship? The physicians of XiMED, MultiCultural, and Greater Tri Cities IPA have come up with a solution that could address many of these issues, and quite possibly, change how independent physicians will practice in the future. The solution: Health Excel. Three leading San Diego County-based independent physician associations (IPAs) have joined forces to create a new administrative organization with the goal of providing enhanced healthcare services to patients & payers. The new entity, called Health Excel, counts more than 500 independent physicians as members — 275 of which are primary care physicians — making it one of the largest independent organizations in San Diego County. Virtually every medical specialty is represented by Health Excel doctors. The joining of physicians from MultiCultural Medical Group, XiMED IPA, & Greater Tri Cities IPA ensures Health Excel will have a presence in every major community in San Diego County.