Tag: TPA

Working with an Integrated Third-Party Administrator Can Improve Health Plan Value for Employers

Posted: February 3, 2022

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Self-insured health care plans have grown in popularity, especially since the nationwide health care overhaul 10 years ago. More employers, including those with less than 1,000 employees, are agreeing to take on the risk of assuming expenses themselves in order to reduce overall health care and benefit costs. However, if employers are not versed in the administrative side of providing health care benefits, all the advantages of a self-insured plan could be lost in mismanagement. Read Post

Direct Health Care Contracting

Posted: December 14, 2021

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Direct-to-employer (D2E) contracting means that a self-insured employer works directly with a health care provider, usually a large health system, accountable care organization, or population health management firm. Together they negotiate the terms by which the provider will supply and manage the health care for the company’s employees and their dependents. The arrangement may cover the full range of services outlined in the plan or may be designed to address specific services such as joint replacement surgery, cardiac catheterizations, or other medical procedures. Read Post
Unifying & Retaining Employees