THIRD PARTY ADMINISTRATORS

A third-party administrator’s (TPA) primary role is to handle operational aspects of employee benefit plans for employer groups, and provide reports about unique risks and costs of the plans. HCRM’s analytics are frequently utilized by third-party administrators for cost containment, population health management, stop-loss negotiations and customized benefit plans and reporting.

 Reporting Capabilities

  • HRM allows you to quickly and accurately identify and stratify your population into cohorts of interest, based on your book of business, individual plans or clinical groupings.
  • Quickly assess the effectiveness of care management programs implemented by plan vendors.
  • Customized, white-label reporting showing clinical and cost trends and outcomes as well as areas of future risk that need to be addressed to assure the financial integrity of the employer plans. 
  • Users can share access to HRM with your UR, large case, and disease management vendors.