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Third-party administrator

Mastering the Transition to Self-Funded Healthcare: Comprehensive Strategies for Success

In the evolving landscape of corporate healthcare, the shift towards a self-funded plan with a third-party administrator (TPA) presents both challenges and opportunities for companies. While self-funded plans offer greater flexibility and potential for cost savings, they necessitate strategic planning and informed decision-making. Transitioning to a self-funded healthcare plan from other models introduces complexities such […]

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Safeguarding Self-Funded Health Plans: The Strategic Role of Stop-Loss Insurance

Safeguarding Self-Funded Health Plans: The Strategic Role of Stop-Loss Insurance

In the ever-evolving world of healthcare, managing financial risks stands at the forefront of strategic planning, especially for health plans considering a shift to a self-funded model. At the heart of this shift lies the critical role of stop-loss insurance, a tool designed to provide stability and assurance in the face of potential financial volatility.

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Why Unbundle with a Third-Party Administrator (TPA) versus a Fully Insured, Administrative Services Organization (ASO) Carrier?

Your health plan management choices significantly impact your business and employees. With a self-funded health plan, a decision must be made between bundling services with an ASO or unbundling with TPA. This blog post explores the compelling advantages of choosing a TPA and unbundled approach. This decision can enhance flexibility, provide a claims cost savings

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Demystifying Reference-Based Pricing (RBP)

Demystifying Reference-Based Pricing (RBP): A Path to Transparent and Cost-Efficient Healthcare

Exploring the Benefits of RBP and the Role of TPAs in Enhancing Its Success In our complex healthcare landscape, spiraling costs and the frequent opacity of pricing models have become critical concerns for employers and patients. As the search for sustainable and transparent solutions intensifies, reference-based pricing (RBP) emerges as an innovative option. This strategy,

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The Role and Integration of Pharmacy Benefit Managers with Third-Party Administrators

Navigating the complex healthcare landscape can be a daunting task, especially with the soaring costs of prescription drugs. Central to the healthcare system and pivotal in addressing these challenges are Pharmacy Benefit Managers (PBMs). When a PBM works in tandem with TPAs and plan sponsors, the partnership ensures patients receive the best pharmaceutical care at

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Optimizing Health Plans Using a TPA

Optimizing Health Plans Using a Third-Party Administrator (TPA)

Optimizing benefits means offering health coverage that enriches and simplifies the lives of covered members at a price point optimized to the employer’s total rewards strategy. This can be a challenging task in a complex marketplace full of options. By working with a Third-Party Administrator, you can improve the overall health and well-being of your

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Why Employers Should Consider Self-Funded Insurance Plans

As more employers look to reduce healthcare costs and expand their plan and program options, the self-funded model is proving to be a win-win for employers, their third-party partners, and employees because of the flexibility, cost savings, and increased transparency it offers. Self-funded insurance has been gaining popularity throughout the U.S. over the past 20

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Why the Broker-TPA Relationship Matters More Than Ever

Employers and their employees deserve the best health outcomes and support, and brokers and Third-Party Administrators (TPAs) are integral to making this happen. Ensuring quality, efficient, and cost-effective health plan options for our shared clients begins with a strong working relationship between brokers and TPAs. Below are three important components of a successful partnership: Meet

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The Broker Community is Craving Something Different:  Q&A with Shelly Kelsey, HealthComp’s VP of Sales

Q: How have your past experiences positioned you for success at HealthComp? I started working in healthcare straight out of college for Great-West Healthcare in Ohio as a sales representative. Although I was brand new to healthcare, I was excited about how I could impact an industry that I knew had so much potential. Even

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