TPAs Address Challenges in Approaching ACA-Mandated Uniform Summaries of Benefits and Coverage

The Affordable Care Act (ACA) states that insurance payers, including both carriers as well as self-funded groups, must create SBC documents for their insureds. This mandate may pose a few questions to Third Party Administrators (TPAs) in the way they provide their service.

by Stephanie Castro2012

New Opportunity for Health Plans to Improve Efficiency, Meet Regulatory Requirements

One area where many health plans can vastly improve their administrative efficiency is in the generation of health plan summaries of benefits and coverage (SBCs, or benefit summaries). These summaries are primarily member education and pre-enrollment documents that explain the benefits of plans with variable product options.

by Stephanie Castro2011