The Competitive TPA In The 21st Century
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Third Party Administrators (TPAs) are here to stay. In the past two decades, as the health insurance industry has transformed from the traditional indemnity plan into a network of diverse solutions, the TPA, and its healthcare "cousin," the Preferred Provider Organization (PPO), have become firmly established as a viable means for organizations to control healthcare costs and offer their employees flexible benefits with quality care.
However, there are many factors buffeting the TPA industry, including looming HIPAA regulations, an increasing focus on quality-of-care, and the need to keep operating costs manageable. Given the shifting environment, Datacap surveyed several thousand TPA's nationwide and the results indicate a widespread awareness of the importance of customer service, a commitment to leveraging Information Technology, and a vision of the future of claims processing that's very much in line with the rest of the health insurance industry.