Meeting Complexity with Confidence Medicaid and CHIP programs are at a turning point. As states adjust to shifting federal requirements, […]
October is Cybersecurity Awareness Month, a time dedicated to reminding organizations and individuals alike that security is not a one-time […]
The health insurance industry is under immense pressure. Rising administrative costs, regulatory changes, and the shift toward value-based care are […]
What changed and why it matters now The One Big Beautiful Bill Act (H.R. 1), which was ratified on July […]
The challenge TPAs face today Third-party administrators must stand up and maintain a wide range of client-specific benefit designs, each […]
Directors and executives across commercial health plans are under relentless pressure: introduce new employer-specific products faster, keep up with shifting […]
Regulatory change isn’t a quarterly event, it’s constant. Each year, CMS releases the Medicare Advantage and Part D Advance Notice […]
Growth in a commercial health plan is a sign of success, but it also brings operational hurdles. Peaks in enrollment, […]
Plan administrators are navigating rising claim volumes, evolving regulations, and growing member expectations more frequently than ever before. Now, with […]
As the industry continues to undergo changes, payers, third-party administrators (TPAs), and risk-bearing providers face mounting pressures from escalating costs, […]
As the healthcare industry embraces digital transformation, cloud technology has emerged as a foundational enabler of agility, innovation, and scale. […]
The role of a third-party administrator (TPA) has never been more complex—or more critical. The global insurance third-party administrator market […]
