The fundamentals of payment integrity for TPAs

As healthcare costs, membership numbers, and utilization continue to rise, the pressure and demand for employers to have visibility into payment integrity measures implemented by their third-party administrator (TPA) is growing rapidly. In fact, TPAs that don’t offer prepay integrity services risk losing a competitive advantage. Watch our on-demand webinar as we break down: -Best practices in prepay integrity program design -Strategies for TPAs and employers to work together -Important technical and clinical components to consider Don’t miss this opportunity to deliver better value for your self-funded clients by implementing effective payment integrity solutions. 00:00 Introduction 01:45 Growth of self-funded plans 03:36 Defining payment integrity 05:37 Common Payment Integrity Challenges 17:10 Benefits of a Strong Payment Integrity Plan 35:28 Addressing Provider Relations Challenges 39:01 Final Thoughts on Payment Integrity Services 39:53 Closing Remarks