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.
Power in Partnership: How Modern TPAs Scale
Over the last few years, I’ve had a front-row seat to what happens when TPAs outgrow the systems and processes that once worked for them. The pressure to scale is increasing, but most conversations still focus on features instead of operational reality. I wanted to share a different perspective through a recent implementation journey and some of the lessons that came with it.
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.
Integrated Payor Solutions Launches TPA to the Forefront of the Industry with Encompass+
Integrated Payor Solutions (“IPS”), a cloud-based healthcare compliance and administration solutions provider, has designed and launched the tech platform of a Texas-based third-party administrator. Built on IPS’s Encompass+ solution, this TPA achieved integration with Cigna in just 60 days and began processing claims with unmatched flexibility and power in 90 days.
Integrated Payor Solutions Partners with Yuzu Health to Revolutionize Digital Self-Funded Health Plans
Integrated Payor Solutions (IPS), a benefits administration and compliance solutions provider, is collaborating with tech-powered TPA Yuzu Health (Yuzu) to engineer a new generation of self-funded health plans that enhance and customize member experience, support, and value. Driven by a mutual care to improve the way members and employers handle healthcare and a need for modernized integration and adjudication, Yuzu is leveraging its collaboration with IPS to offer creative plan offerings to the industry’s most forward-thinking employer groups and brokers.
Modern Solutions for Complex Healthcare Operations
IPS delivers flexible, cloud-based technology for claims administration and healthcare compliance workflows.