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.
Taft-Hartley Administration Without the Headaches
Keep the Administration Flexible for Growth Taft-Hartley health plans don’t operate like traditional employer-sponsored plans. They are jointly trusteed benefit plans created through collective bargaining between unions and employers. Unlike a traditional single-employer plan, these plans often involve multiple contributing employers and eligibility rules that reflect how participants work across them. For TPAs, ASOs, and networks supporting Taft-Hartley business, administrators have to manage complex eligibility across multiple contributing employers while keeping funding aligned with how…
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.
Integrated Payor Solutions Completes Price Comparison Tool Built for No Surprises Act Compliance and Shares its Success
Integrated Payor Solutions, a company providing the industry-leading No Surprises Act Compliance Solution, announced the success of its Transparency+ tool and its impact on the healthcare industry. Integrated Payor Solutions created the Transparency+ tool, a solution focused on the No Surprises Act and Transparency In Coverage Rule. Transparency+ was founded on a powerful platform, Salesforce, and its features include machine-readable files, and now, the price comparison tool.
Update: Final Surprise Medical Billing Rules
Are you prepared for 2023 enforcements for Transparency in Coverage compliance? Following the Federal Departments’ release of the Final Rule on August 19, 2022, additional clarity on the Transparency in Coverage Rule for self-funded health plans outlines expectations for maintaining compliance with upcoming enforcement deadlines. Learn about some of the key updates.
Integrated Payor Solutions Finalizes Build for Machine-Readable Files Component of Bolt-On Transparency Compliance Solution
Integrated Payor Solutions, a company providing a full-stack tech solution for medical claims processing and bolt-on compliance solution for the No Surprises Act (NSA), announced the completion of the machine-readable files component of their NSA solution, Transparency+.
Modern Solutions for Complex Healthcare Operations
IPS delivers flexible, cloud-based technology for claims administration and healthcare compliance workflows.