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.
Why Scalability Matters in Medicare Advantage
Organizations that want to enter Medicare Advantage or grow what they already administer understand that CMS compliance matters. The harder question is whether their systems can support the work when enrollment grows, reporting gets more complex, or an audit request lands without warning. In this article, Shawn discusses what Medicare Advantage scalability really requires behind the scenes.
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.
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.
Modern Solutions for Complex Healthcare Operations
IPS delivers flexible, cloud-based technology for claims administration and healthcare compliance workflows.