As new technologies emerge, TPAs who offer both CDH account and COBRA administration should continually evaluate their day-to-day business operations to reduce costs through greater efficiency. Improvements in technology give rise to numerous opportunities for cost reduction, but they also introduce important questions that must be addressed. For example, is relying on two or more … More >>
Since 2005, the market for Health Savings Accounts (HSAs) and qualified high deductible health plans has been continuously growing, and so has the market for HSA management services. However, TPAs who want to compete and make money by adding HSAs to their portfolio see significant barriers to market entry — finding revenue opportunities, time and … More >>
Computer technology is continually evolving. The benefits administration platforms of years past are ill-equipped to meet the demands of 21st century users, and benefits administrators are looking for increased efficiency, better data integrity, and greater value from software vendors.
Health Savings Accounts (HSAs) have been growing in popularity over the past decade. Due to healthcare reform in Washington, D.C., and market demands, TPAs can benefit from a thriving HSA market. With multiple entities placing an increased focus on HSAs, TPAs need to know how to position themselves in order to take advantage of this … More >>
As the Health Savings Account (HSA) market continues to surge, the time is right for TPAs and other companies to jump in and build additional revenue. However, one significant area of concern for TPAs is competing with banks. In order to become a formidable alternative to traditional banks, TPAs need a simple and affordable … More >>
Self-administered Medicare Set-Aside Arrangements (MSAs) present a daunting challenge to both MSA recipients and third party vendors alike. Settlement recipients are faced with strict rules and regulations, detailed reporting and accountability, disbursement of funds, and more. Pharmacy benefit managers must find a way to offer added value through enhanced pharmacy discounts and a simple yet secure way for MSA … More >>
When considering an account-linked payment card for employer benefits, TPAs must find a solution that provides improved security, accountability, and flexibility for all parties involved in the transaction. Introduction The rise of consumer directed healthcare (CDH) during the past decade has led many employers to seek new methods to incent plan enrollment and enable employees to access … More >>
The complications that stem from multiple parties being involved in insurance payment processing call for a solution that is flexible, efficient, and secure. Introduction The process of issuing payment from an insurer to a provider is fraught with complications and delays. Insurers commonly enlist the services of a third-party administrator (TPA) to manage the supporting documentation and distribute … More >>
Sky-high medical workers’ compensation payments and increasingly complex claims are calling for a streamlined solution to manual provider payment processes Introduction Caring for injured workers is more complex than ever before. In 2012 alone, workers’ compensation medical costs to providers increased to $30.8 billion¹, a staggering increase from years past. This upward trend, coupled with … More >>
Traditional indemnity payment costs may result in higher workers’ compensation claim costs Introduction Indemnity payments represent a significant portion of workers’ compensation spend – anywhere from 40 to 60 percent of claim costs. While they don’t receive a lot of attention, increasing administrative burdens and processing fees associated with indemnity expenses are thwarting payers’ abilities … More >>
