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 […]