Technology has rapidly shifted the healthcare claims environment, creating both new challenges and opportunities. While larger carriers and in-house solutions often dominate conversations about innovation, third-party administrators (TPAs) can use digital transformation to not only level the playing field but also sharpen their competitive edge. Why Digital Transformation Matters for TPAs TPAs operate in a […]
For most organizations, fall is when renewal discussions and plan design decisions for the next year take shape. Claims data from the past 12–18 months becomes a central tool: it reveals cost drivers, member utilization trends, and opportunities to improve benefits without adding unnecessary expense. Reviewing claims data during this window helps employers and TPAs […]
Every growing business reaches a point where internal resources are stretched thin. Teams are overtasked, systems get siloed, and operational demands compete with strategic goals. That’s where outsourcing comes in—and more specifically, Business Process Outsourcing (BPO) services. Outsourcing helps you reduce costs, increase efficiency, and free up internal teams by offloading time-consuming administrative tasks to […]
In the world of healthcare claims, speed and accuracy are often seen as opposing forces. But the truth is, they don’t have to be. With the right approach, you can reduce claim cycle time and uphold high standards of accuracy, compliance, and service. Here are five high-impact ways to improve your internal claim cycle—while keeping […]
In healthcare, security isn’t just about locking the door—it’s about safeguarding every digital exchange behind it. With cyberattacks on the rise, Third-Party Administrators (TPAs) are facing unprecedented challenges. As stewards of sensitive member data, your systems are a prime target—and attackers are getting smarter. At Hi-Tech Health, we partner with TPAs to strengthen their cybersecurity […]
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 […]