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.
A 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.
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:
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.
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.
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The Health Care Administrators Association is the nation's largest nonprofit trade association for third-party administrators, stop loss insurance carriers, managing general underwriters, audit firms, medical managers, technology organizations, pharmacy benefit managers, brokers/agents, human resource managers, and health care consultants. HCAA has spearheaded the change of self-funding for more than 35 years.
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