The role of a third-party administrator (TPA) has never been more complex—or more critical. The global insurance third-party administrator market size was valued at $324.9 billion in 2022 and is projected to reach $795.1 billion by 2032¹. This expansion is fueled by the rising demand for specialized services, the increasing complexity of insurance regulations, and the ongoing need for greater operational efficiency and transparency within the industry.
TPAs sit at the heart of the healthcare ecosystem, serving as the connective tissue between payers, providers, and members. But today’s healthcare landscape is evolving rapidly, and TPAs are under increasing pressure to deliver more value with fewer resources. From navigating fragmented systems to meeting rising member expectations, the challenges are real—and growing.
At HealthAxis, we’ve spent decades partnering with TPAs, understanding their pain points, and developing smart, scalable solutions like AxisCore and AxisConnect. AxisCore is a next-generation platform purpose-built to help TPAs thrive in a new era of healthcare administration. AxisConnect is our comprehensive suite of business process outsourcing (BPO) and business process as a service (BPaaS) capabilities.
Here, we break down the top three challenges TPAs face today—and how HealthAxis solutions can help turn them into opportunities.
Challenge #1: Fragmented Systems and Inefficient Workflows
The Problem:
TPAs are often stuck working across multiple legacy platforms for claims, eligibility, billing, reporting, and member engagement. These siloed systems lead to redundant processes, manual errors, and limited visibility—slowing down operations and increasing costs.
The Solution: A Seamless Center with AxisCore + AxisConnect
AxisCore is a unified platform that brings together the full spectrum of TPA functionality—claims, enrollment, provider management, customer service, and reporting—into a single, powerful environment. With real-time data sharing, automated workflows, and centralized access, TPAs gain:
- Faster, more accurate claims processing
- Integrated provider and member management
- Fewer manual touchpoints and errors
- Simplified reporting and audit readiness
AxisCore takes integration even further. It bridges external systems and data sources—including clearinghouses, EHRs, and client portals—ensuring interoperability without disruption. Whether you’re onboarding a new client or syncing with a health system, ensuring your systems talk to each other—seamlessly.
AxisConnect offers experienced teams to handle admin tasks with precision—so you can focus on scaling your operations without the immediate overhead.
Challenge #2: Staffing Constraints and Operational Scalability
The Problem:
Running a TPA operation is resource intensive. Hiring, training, and retaining skilled teams for every aspect of claims and customer service is costly and time-consuming—especially when trying to scale or take on new business.
The Solution: On-Demand Support with HealthAxis BPO + BPaaS
Our Business Process Outsourcing (BPO) services allow TPAs to offload high-volume, repetitive tasks like claims entry, eligibility verification, and call center operations to our expert team. We operate as an extension of your organization—reducing overhead while maintaining quality.
With BPaaS, we go a step further by offering both the technology and the operations bundled into a scalable, turnkey service. TPAs can launch or expand business lines without having to invest in internal teams or infrastructure. Benefits include:
- Reduced administrative costs
- Faster speed-to-market
- Scalable operations that flex with demand
- Dedicated teams with deep healthcare expertise
Whether you need full outsourcing or just overflow support, we help you focus on strategy while we handle the execution.
Challenge #3: Increasing Member and Client Expectations
The Problem:
Today’s members expect the same level of service from their health plan as they do from their favorite consumer brands—real-time information, easy digital access, and proactive communication. Employers and payers expect transparency, customization, and performance metrics on demand. Meeting these expectations with outdated tools just doesn’t cut it.
The Solution: Personalized, Digital-First Experiences with AxisCore + AxisConnect
With AxisCore’s intuitive member and provider portals, TPAs can deliver modern, self-service experiences that drive satisfaction and retention. Members can:
- Access ID cards, claims, and benefits anytime
- Receive real-time notifications and updates
- Submit inquiries and track resolutions
- Employers and payers get dashboards, reports, and insights tailored to their needs.
Our platform also enables TPAs to integrate with wellness programs, telehealth platforms, and analytics tools to further personalize the experience.
And when it comes to live support, our AxisConnect BPO teams provide responsive, HIPAA-compliant member and provider services on your behalf. Whether through phone, chat, or email, we meet people where they are—with empathy, speed, and professionalism.
The HealthAxis Advantage: A Modern Model for Modern TPAs
At HealthAxis, we don’t believe in one-size-fits-all. We believe TPAs deserve the right mix of technology, automation, and operational support tailored to their goals.
By combining:
- AxisCore for powerful, integrated administration
- AxisConnect for flexible, expert operations
…we help TPAs lower costs, improve outcomes, and deliver exceptional service—without compromise.
Whether you’re looking to modernize your core systems, reduce operational load, or scale into new markets, HealthAxis has the infrastructure and expertise to get you there.
Ready to take your TPA operations to the next level? Schedule a demo today and discover how HealthAxis can transform your operations and drive long-term success.
Sources:
¹Insurance Third Party Administrator Market Size, Share, Competitive Landscape and Trend Analysis Report by Service Type, End User, Enterprise Size: Global Opportunity Analysis and Industry Forecast, 2023-2032, Allied Market Research
