Guidance on employee benefits
Beyond the Rates

Best Questions to ask a TPA during the RFP Process

When it comes to the RFP process, if a TPA doesn't do more than promise a drop in rates, they're not doing enough. A thoughtful proposal should cover four dimensions of the working relationship: Savings, Selection, Support, and Satisfaction. 

What Should a Strong Employee Benefits Proposal Include?

Here are the Top 5 Questions brokers and employers should ask any potential TPA partner. 

True TPA cost savings extend beyond network discounts and should include claims editing, direct negotiation, and medical management strategies like length-of-stay optimization and gap-in-care analysis. 

The RFP process is the perfect time to ask about the service you can expect beyond year one.

High-quality TPA customer service balances fast response times with a strong member experience by resolving concerns on the first call and providing clear, helpful education to improve satisfaction and outcomes. 

A tech-savvy TPA improves member experience by using digital tools like mobile apps alongside other engagement strategies to enhance convenience, access, and overall member satisfaction. 

Effective self-funded plan reporting should go beyond data by delivering actionable insights, identifying population health and cost trends, and providing tailored strategies to address specific client cost drivers. 

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