IPS Blog
Insights on Claims Administration, Compliance, and Healthcare Operations
Read the latest blogs from Integrated Payor Solutions covering healthcare claims administration, the No Surprises Act (NSA), the Transparency in Coverage Rule (TiC), operational strategy, and trends impacting TPAs, ASOs, networks, and health plans.
2026 Transparency in Coverage Rule: What It Means for QPA Compliance
New federal rules are changing how health plans report pricing information, and TPAs and plan administrators are the ones who have to put those changes into practice. On October 5, 2026, federal agencies finalized updates to the Transparency in Coverage (TiC) rule. The timing matters. These changes land just weeks after a federal court decision on Qualifying Payment Amounts (QPAs), and together they put a spotlight on the data behind healthcare pricing and compliance. The goal…
SIIA 2025: Modernization, Risk, and Opportunity for TPAs
This year’s SIIA conference made one thing clear: the market is shifting faster than many TPAs are ready for. Across meetings and side conversations, the same topic kept coming up: large, established TPAs facing serious operational and financial challenges because their technology hasn’t kept up with client expectations. Investors and clients alike are losing patience with outdated systems, long implementation timelines, and rigid infrastructure. Some organizations are even watching their valuations drop as a result.
Keeping Eyes on HIPAA
HIPAA compliance has never been static. Since it first passed, the regulation has evolved in response to technological advancements, new threats, and changing expectations from regulators, payors, and members. For third-party administrators (TPAs), this creates a unique challenge. Staying compliant isn’t just checking a box one time and calling it a done day. Instead, it requires maintaining vigilance in an environment where the rules, risks, and repercussions are constantly shifting.
Old Tech, New Risks: Why Security and Compliance are a TPA Priority
As technology rapidly evolves, Third Party Administrators (TPAs) can no longer afford to rely on outdated systems. From increasing cybersecurity threats to rising compliance risks, legacy platforms are putting sensitive data, and your reputation, at risk. Don’t let legacy systems and software hold you back. Here, learn how to stay ahead in an industry where the tech is stuck in the past.
The Value of Member Experience
In today’s digital-first world, outdated tools and slow systems won’t cut it. In this blog, we explore how member expectations have evolved, and why tech-driven solutions like intuitive portals, real-time data, and secure cloud platforms are now essential for TPAs. Learn how IPS helps organizations stay ahead with flexible, scalable, and future-ready technology that delivers the seamless experience members, and TPAs, demand.
The Journey to Claims Admin Expertise
You can’t force change in healthcare; it has to be built from the inside out. In this blog, IPS CEO and Founder Shawn Evans shares how real transformation in claims administration doesn’t start with technology, but with people. Told through the stories of acquiring Podiatry Plan and East West Administrators, this post highlights how listening, observing, and solving for real user pain points can lead to platforms that actually work—efficiently, flexibly, and sustainably. Because in healthcare, progress isn’t about moving fast. It’s about moving with purpose.
Navigating Healthcare Compliance Amidst Changing Regulations
Since their introduction, the No Surprises Act (NSA) and the Transparency in Coverage (TiC) rule have continued to throw wrench after wrench into the works of the healthcare regulatory landscape.
Modern Solutions for Complex Healthcare Operations
IPS delivers flexible, cloud-based technology for claims administration and healthcare compliance workflows.