Payor Networks & Relations
Context
JIPA collaborates with a broad spectrum of payors — from government-run NHIs to travel insurance companies and employer-funded plans.
We provide technical support, advisory, and financial intermediary services that align payors with clinical realities and cost control.
The Challenge
Payors often struggle to control costs, manage complex claims, and coordinate with cross-border providers. Issues include:
Lack of visibility into service utilization and outcomes.
Poor coordination across countries or systems.
Rising claims without risk adjustment.
Inconsistent preauthorization or claims processes.
Our Approach
JIPA strengthens payor relationships through:
- Plan Design: Assisting in benefit structuring and provider alignment.
Claims Management: Serving as a third-party intermediary and reconciling claims. - Utilization Review: Clinical reviews and oversight on high-cost or high-risk cases.
- Customer Service & Case Updates: Providing structured reporting and dashboards.
- Cost Containment Strategies: Leveraging our network to ensure predictable, pre-negotiated pricing.
Why JIPA?