Hero - Third-Party Administrators

Third-Party Administrators
Meet the Diverse Needs of Your Membership and Clients

Value-based care presents new challenges to Third-Party Administrators (TPAs) as they struggle to meet the diverse needs of the membership across employer groups and health plans—even those with complex relationships or different state regulations.

We can help you more efficiently support the activities and risk-based agreements you manage so you can provide exceptional, personalized customer service and value to the employee groups, health plans and members you serve.

Tracking and reporting around value-based metrics will help you prove ROI and more efficiently manage care, even for your most complex members. We can also help you reduce the administrative burdens associated with meeting state, federal and NCQA requirements.

Medecision supports the health of consumers and your business

For more reasons TPAs choose Medecision, see how we support:

Icon - Digital Care Management


Digital Care Management

  • Connect healthcare ecosystems
  • Personalize and orchestrate care for all consumers
  • Use integrated data intelligence from across the care community

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Icon - Consumer Engagement

High-Tech, High Touch

Consumer Engagement

  • Ensure care experiences are personalized and proactive
  • Offer omnichannel engagements
  • Meet quality metrics and value-based goals

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Care Coordination

  • Increase operational efficiency and improve turnaround times
  • Proactively manage gaps in care and increase satisfaction for both providers and consumers
  • Manage network leakage through preferred provider set-up

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Icon - Utilization Management


Utilization Management

  • Automate tasks to reduce costs
  • Improve throughput and turnaround times
  • Increase your competitive edge

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