Healthcare Operational Services Are Best Managed By TPAs

As the healthcare industry progressed over the years, many changes have occurred, and most notably the rising expenditures. While that can be anticipated given the ever-changing conditions in businesses, developing preventable chronic diseases and reliance on company-sponsored private health insurance have also contributed to the ongoing inflation. In an article published by The Balance, the U.S. health care costs were $3.6 trillion in 2018 with 17.7% gross domestic product. That's a 12.7% increase in comparison to the $27.2 billion costs in 1960, just 5% of GDP. 


In an attempt to minimize cost, employer companies have chosen to take on self-insured programs alongside third-party administrators (TPA). This entails that employers self-fund and pay for their employees' claims using their own money. To help with plan administration and to get their hands off of unnecessary additional workloads, most self-insured employers strike a deal with independent TPAs. In the years that followed, the role of TPAs has extended to cover many other daily operational services with the help of an executive dashboard. 



What is TPA?

third-party administrator is employed under an insurance company where they provide operational services such as claims processing and employee benefits management under a contract to another company to certain businesses or companies. Insurance companies and self-insured companies often outsource their claims processing to third parties, thereby getting the name of third-party claims administrators.



Streamline Operational Services with Professional TPAs

A hospital or a health provider organization establishing its own health plan often needs help with administrative responsibilities. Typically, organizations have to deal with multiple complex processes and they require extra hands to run the program for them. In order to fulfill the organizations’ duties to its patients, they outsource administrative tasks to TPAs, including operational management. Providers have depended on TPAs to care about data analytics, population management, and claims processing.


It is not a surprise that the market for TPAs has grown in recent years. Not only choosing TPAs is the best decision for your organization, but it’s also the right business partner to render accurate results and benefits from the following convenience:


  • Lower administrative costs
  • Efficient administration and operational support
  • Streamlined operational services
  • Adequate assistance to providers in achieving quality care


Choosing TPAs guarantees end-to-end service support and administration solution at a fraction of the cost. However, without a comprehensive management platform, TPAs are unable to execute actions or complete deliverables on time. Digital technology is becoming the most relied on tool in every business nowadays. Fortunately, an extensive and robust system like QuickCap is available to help TPAs streamline and fast-track processes.



QuickCap’s Executive Dashboard Suitable for Reporting Health Care Initiatives and Programs

To arrive on a basis of recommendations and initiatives for different health populations, TPAs heavily depend on a competent system with an all-in-one dashboard. With QuickCap, it is the best platform to look into data for reference, analysis, and resolution all in one place. 


Actionable Dashboard Reporting

Comprehensive and organized display of patient data, program, and health care initiatives valuable for reporting. Review associated population details with ease and effectively deduce arrangements according to the available information.


Configurable Data Management

User-friendly data management configurations for your user dashboard. Easily set up sections and components to present data that satisfies your preference. 


Customizable Dashboard Profile Settings

Personalize a profile just for you. Freely create a default profile with your dashboard data and configuration and settings preferences.


TPAs cannot complete all administrative and operational responsibilities without technological integrations within reach. Obtain an inclusive dashboard platform that you can only find in QuickCap to advance your TPAs quality results.


Explore Related Blogs

The Top 6 Qualities of TPA Tools in the Coordination of Care
19 Oct, 2021
Discover what tools TPAs need for smoother care coordination in healthcare through QuickCap, the leading workflow automation tool for healthcare payers.
The Role of TPA Healthcare Solution to Coordination of Care
31 Aug, 2021
TPA healthcare can enhance coordination of care performance through QuickCap’s healthcare claims solution for convenient claims processing.
How Care Coordination Benefits Healthcare & Payers?
04 Dec, 2020
Organization of payers benefits from care coordination system because It helps minimize repetitive tests and reduce health care costs.

Recently published articles

ACO PC Flex Model
26 Apr, 2024
Learn about the new ACO Model coming this 2025 and how MedVision is ready in helping organizations achieve this initiative.
Value-Based IPA's Operations
25 Apr, 2024
IPAs streamline healthcare delivery in value-based care. Learn how MedVision’s QuickCap refines workflows and improves patient outcomes in IPA business models.

Keep in touch

Subscribe to get the latest update


Trending topics

Share your insights on social media

Upcoming Events and News

APG Spring Conference
10 May, 2024
The APG Spring Conference 2024 will be held in San Diego from May 29-31, focusing on shaping a sustainable and value-based healthcare system. More details here.
MedVision's sponsorship Spring Fling Fundraiser 2024
By Aprillice Tangpos 16 Apr, 2024
Experience Spring Fling Fundraiser 2024, sponsored by MedVision. Join us for a night of celebration and support for a great cause!
MedVision at NAACOS 2024
By Aprillice Tangpos 02 Apr, 2024
Discover insights and solutions for ACO success at NAACOS 2024. Explore QuickCap v7.0 benefits at Table #3. Improve efficiency for better patient care.
a woman in a white coat with a stethoscope around her neck is standing in front of two logos .
12 Dec, 2023
This collaboration aims to elevate MedVision’s healthcare solutions through the integration of the innovative NexJ Connected Wellness platform.
Share by: