Everyone promises seamless integration. Not everyone delivers. When you’re evaluating a claims administration partner, “seamless integration” is a phrase you’ll hear again and again. It sounds great. It’s what you want. But too often, it turns out to be just that—a phrase. The truth? Integration is where many platforms fall short. Whether it’s technology that […]
With increased private equity (PE) activity in the healthcare benefits space, third-party administrators (TPAs) are finding themselves at a crossroads. Do you sell? Do you scale? More importantly, how do you stay in control? At Hi-Tech Health, we believe TPAs don’t have to give up the driver’s seat to secure capital or growth. With the […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]