Three decades ago, third party administrators (TPAs) began to offer employers meaningful alternatives to the traditional fully insured carriers. They introduced creative plan management and enhanced services as medium and large employers understood the value of partially self-funding their health plans. In recent years, mergers and acquisitions by private equity groups and insurance carriers has eroded the core TPA value proposition. Here at Performance Health, we recognized the needs of small and medium employers were no longer being met, as TPA organizations aligned their interests with their own corporate returns.
