As private equity firms look to streamline operations and drive profitability across their holdings, a unified claims processing solution can serve as a critical asset. For firms with multiple Third-Party Administrators (TPAs) in their portfolio, centralized claims management offers a consistent, cost-effective approach that elevates each investment. Implementing a system that integrates technology and automation […]

In today’s healthcare landscape, compliance with the Transparency in Coverage Rule is non-negotiable. Non-compliance results in significant repercussions, so it’s imperative for health plan sponsors and Third Party Administrators (TPAs) to not only understand the impacts of this rule but also implement strategies to stay compliant and mitigate risks proactively. In this blog, we’ll explore […]

Artificial intelligence (AI) and machine learning have emerged as powerful tools to enhance healthcare payer operations. From claims processing to fraud detection and personalized member care, these technologies offer unprecedented opportunities for efficiency. However, given the questions about reliability and ethical use, should you trust AI and machine learning? At Hi-Tech Health, we’re here to […]