Health plans and TPAs

Health plans are insurance policies that private companies or government programs offer to cover healthcare costs for enrolled individuals. Third-party administrators manage and process insurance claims for these health and employee benefit plans, often serving as intermediaries among healthcare providers, payers and beneficiaries.

Top Stories

  • Guest Post 08 Jan 2025

    How a Healthcare Technology Partner Can Enhance Operational Efficiency for Third-Party Administrator

    Across other industries, digital transformation has been ongoing for decades, leading to increased efficiencies. In healthcare, modernization has occurred rapidly on the clinical side, but the financial aspect of the industry—the billing, claims management, payments, and communications—has not evolved at the same pace. The result is administrative burdens, outdated processes, and complicated technology stacks that slow down care. Continue Reading

  • Guest Post 06 Jan 2025

    How Healthcare Technology Helps Brokers Improve Provider and Network Data Management

    Managing provider and network data is a critical piece of the puzzle for ensuring care flows seamlessly throughout the healthcare system. When data is accurate, accessible, and up-to-date, beneficiaries can find the right care at the right time, improving satisfaction and outcomes. For brokers, accurate provider networks empower employers and beneficiaries with better tools and support to navigate their healthcare options. Continue Reading