News & Updates
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.
AI Isn’t Your Silver Bullet:
Why AI Alone Can’t Solve Your Problems
AI is everywhere—and while it offers exciting possibilities, it’s not a fix-all solution, especially in the complex world of healthcare. Learn how AI and machine learning differ, why human oversight remains essential, and where AI delivers real value—from streamlining claims processing to supporting data-driven decisions. The future of healthcare isn’t AI alone, but people and AI working together.
Every Modern TPA is a Tech Company...or Why They Should Be
The healthcare landscape has shifted—permanently. Post-COVID expectations, evolving compliance requirements like the No Surprises Act, and the rise of digital-first healthcare have made it clear: TPAs must operate like tech companies to survive.
Building Software from the Ground Up: The Importance of Future-Facing SaaS
With the state of healthcare, an understanding of healthcare finance and risk management is crucial to creating a flexible software as a service (SaaS) platform, one that TPAs can actually use to improve outcomes—and afford in the first place.
It’s All About Security: Our Top Takeaway from HCAA
You’ve probably heard it time and again by now—protecting your data is more vital today than ever. Of course, this leads us to the obvious question: what’s the best way to go about ensuring that protection? According to what the IPS team heard at this year’s HCAA Executive Forum, the answer is increased cybersecurity—and investing in the technology to support it.
Integrated Payor Solutions Announces the Implementation of Encompass+ with Harmony Third Party Administrator
February 27, 2025 — Integrated Payor Solutions (“IPS”), cloud-based healthcare compliance and administration solutions provider, is excited to announce the successful implementation of the Encompass+ platform with Evolve Association’s third-party administrator (TPA), Harmony.
Exploring the New HIPAA Security Rule Updates: Everything You Need to Know
Regulatory authorities are renewing their focus on HIPAA audits, placing a spotlight on compliance, and healthcare organizations are being urged to pay closer attention to the evolving security landscape. Recently, the U.S. Department of Health and Human Services (HHS) proposed significant updates to the HIPAA Security Rule, marking the first major revisions in over a decade. These changes are designed to address the growing complexity of cybersecurity threats and the increasing need to protect sensitive health information.
The Generational Shift in Claims Processing: Why Technology is No Longer Optional
As advancements in technology continue to grow, so does the industry’s reliance on them. While AI cannot replace the claims examiner, an aging workforce, coupled with the lack of young professionals entering the field, presents a number of significant challenges for the health benefits space. Learn more by reading our blog.
Breaking Down Barriers: Overcoming the Top 4 Objections to Switching Operating System
There are a number of necessary “evils” you have to undergo when you’re a decision-maker in business—it’s just how things go. That doesn’t make them any easier, and that’s especially true in the TPA space. There are plenty of headaches to go around when dealing with the ups and downs of the industry, but one major headache is when it’s time to switch your claims administration operating system.
The Quest for Better: Lessons from a Modern-Day Don Quixote Realizing the Gaps in Healthcare IT Systems
Let’s be honest—traditional healthcare systems are full of problems that feel impossible to fix. Trying to tackle them all at once is a bit like fighting giants. We all want that magic solution to overhaul the system and make it better for everyone, but believing that one person or company can solve all of healthcare’s problems? That’s a dream, and not a very realistic one. There’s a better way to approach this challenge—one that doesn’t involve tilting at windmills.
