Choosing among TPA companies has become more complex than ever. The market is crowded with administrators that offer similar core capabilities, comparable technology platforms, and nearly identical service descriptions. On paper, many TPA proposals look...
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Selecting the right benefit solution provider is becoming increasingly important for health systems navigating the complexities of modern employee health plans. Rising costs, evolving regulations and growing expectations around the member experience require more than...
When most organizations think about healthcare BPO support services, they focus on claims processing, billing and other back-office functions. While those are essential to keeping operations running, they only scratch the surface of what BPO can do. Increasingly, the...
Self funded health plans are gaining momentum as employers look for greater flexibility and control over their benefits. By financing employee healthcare claims directly, organizations can achieve cost savings and design benefits that fit their workforce. But this...
From keeping eligibility records accurate to processing claims and answering employee questions, benefits administration demands time, attention and the right expertise. For self-funded employers, the work can be even more complex — often requiring coordination across...
After years of rising premiums, growing deductibles, and expanding plan complexity, American consumers are showing signs of fatigue with the health insurance status quo. While many still rely on their plans and participate in employer-based systems without complaint,...
When it comes to managing health plan benefits, many organizations turn to a behind-the-scenes partner to keep everything running smoothly. Meet the Third Party Administrator, or TPA. Put simply, a TPA is an independent entity that takes care of the daily operations...
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