Key Employee Benefit Trends to Watch in 2025

2025 is here and employee benefits are on the brink of a major transformation, fueled by tech advancements, stronger data security, and the growing role of private equity in healthcare. We’re diving into the top trends set to reshape the industry and offer some practical advice to help Third Party Administrators (TPAs) gear up for […]

Unified Claims Processing: Amplifying Value Across Private Equity Portfolios

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 […]

Tips for TPAs: Mental Health Parity Act

Expert Tips for TPAs to Navigate Mental Health Parity Act Changes This Election As the upcoming election approaches, businesses across the healthcare industry, including Third Party Administrators (TPAs), must brace for potential regulatory changes and shifts in healthcare policy. Whether it’s new mandates or revisions to existing laws like the Affordable Care Act (ACA) and the Mental Health […]

How TPAs Can Thrive with Claims Administration Software

Third-party administrators (TPAs) must adapt to stay competitive in an ever-evolving industry. Embracing advanced technologies like big data, artificial intelligence (AI), and automation is crucial for enhancing efficiency, improving service delivery, and ensuring compliance. Dive into our strategies to thrive in a dynamic marketplace with cutting-edge technology. 1. Leverage Big Data Big data is transforming […]

5 Ways to Stay Compliant with Price Transparency

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 […]

Should You Trust AI and Machine Learning?

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 […]

Leveraging Data for Efficient Claims Processing & Auto-Adjudication

In the ever-evolving healthcare landscape, third-party administrators (TPAs) are constantly challenged to strike the delicate balance between swift processing and accuracy, all while prioritizing customer satisfaction and cost efficiency. In this demanding environment, harnessing the power of data and auto-adjudication is vital for healthcare payers seeking to boost their productivity and streamline their operations. Let’s […]