Insights

Expert analysis on international TPA operations, cost containment, air ambulance, claims strategy, and enterprise assistance infrastructure.

Latest

IPMI Under Pressure in 2026: What Carriers and Employers Need to Address Now

The global IPMI market hit $38.8B in 2024 — and is colliding with 10.7% medical inflation, a 164% chargemaster markup gap, and 45–60 day claims cycles. The Middle East crisis this week is a live test of what those structural gaps look like in practice.

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Featured

What Procurement Teams Get Wrong About International TPA Selection

Five structural mistakes that lead insurers and assistance organizations to select the wrong TPA — and what to ask instead. From fulfillment reality to U.S. cost containment depth, here is the evaluation framework that actually works.

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Air Ambulance: When to Transfer, When Not To, and Who Pays

The most expensive single line item in international assistance — and one of the most mismanaged. A clinical and financial framework for authorization, cost management, and governance.

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How We Contain Costs: Repricing, UCR, and the Negotiation Playbook

International cost containment is not a single tactic. It is a five-layer system. Here is how each layer works — from network access and prompt-pay discounts to coding audit and fraud controls.

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The Hidden Cost of Slow Claims: Why Speed Matters Beyond Service

Slow adjudication is not just a service failure. It is a financial one. Prompt-pay discount capture, provider relationship quality, and fraud window exposure all hinge on payment speed.

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Best Price vs. Best Facility: How We Choose Providers in High-Stakes Cases

Provider selection is a clinical and financial decision. The framework for matching case complexity to provider tier — without over-allocating to premium facilities or under-allocating on complex cases.

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U.S. Cost Containment: How to Push Patient Behavior Upstream

Retrospective bill review is the last line of defense. The real money is upstream — network steering, prospective rate negotiation, and site-of-care optimization before the bill is generated.

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▶ Video March 11, 2026

25 Years — Leadership Reflections

🥂 After 25 years, one principle still guides how we operate. CFO Ralph Patino shares his perspective on leadership, service, and the values that have shaped MDabroad. Because in global healthcare, doing things the right way still matters.

✍ Article August 2025

Patient Brokering: A Dangerous Ethical Issue in International Healthcare

Patient brokering — directing patients to specific facilities in exchange for referral fees — is one of the most underreported ethical risks in international healthcare. What payors and assistance companies need to know.

✍ Article July 2025

USD Devaluation in 2025: Critical Insights for Travel Insurers Worldwide

A weakening dollar reshapes the economics of international medical claims. What travel insurers and IPMI carriers need to model for 2025 programs — and which markets feel the impact most.

✍ Article April 2025

Tariffs and Healthcare Economics: Implications for International Payors and Latin American Stakeholders

Trade tariffs ripple through medical equipment costs, pharmaceutical supply chains, and healthcare delivery across Latin America. A breakdown of what international payors should be watching.

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