The San Juan IPA was founded in 1986 by a group of 21 community physicians to partner
insurance companies with the goal of improving the quality of care to patients while
decreasing the cost of care to those payers. Originally formed with a “Quality Assurance
the San Juan IPA has grown to over 450 members representing 39 specialties and sub-specialties
in 70+ offices across New Mexico, a HEDIS quality review function, a Credentialing
and a care management committee component.
As an NCQA-accredited organization, San Juan IPA’s core services of contracting and
credentialing are complemented by an array of expanding resources for the physician
helping keep practice costs low and quality of care high. We continually look for
promote new quality initiatives both within and outside the practice walls for patients
To ensure that a heath care delivery system is in place, which provides available,
accessible and adequate numbers of facilities, locations, and personnel for the provision
of health care services.
To ensure that a health plan members are provided covered services without regard
to race, color, creed, sex, religion, age, national origin, ancestry, marital status,
sexual preference or physical or mental handicap.
To ensure that the SJIPA has in place the organizational and administrative systems
capable of messaging medical services contracts between providers and third party
To ensure that the quality of care to all patients continues at the highest level
of care possible.
Provide support for community health education and wellness.
Did you know? San Juan IPA turns 30 years old on May 13th!
To celebrate we will be announcing new services, opportunities
for on-line education for staff (free for members!), and celebrating
our founders! Announcements will be coming on IPA Alerts!
San Juan IPA celebrates Dr. Bill Cumberworth! Dr. Cumberworth is a founding member
of the IPA and is still active as the Medical Director for the IPA. We at the IPA
salute you for your membership and service to the members and community!