Recent Entries

• Claim Administrator Contracts for Employer Health Plans

  by TFG PartnersLLC Jan 8
  Self-funded medical plans and their third-party administrators (TPAs) often maintain close yet competitive relationships. A frequent point of contention is the plan’s right to work with medical claim auditors and other facets of the TPA’s performance. With rising costs and greater monito...

• Outsourcing Health and Rx Plan Claim Administration

  by TFG PartnersLLC December 4, 2025
  Corporate and nonprofit organizations that self-fund their employee health and pharmacy benefit plans are increasingly turning to advanced medical claim auditing for oversight. Most organizations now outsource claim administration to third-party administrators (TPAs) and pharmacy benefit managers (P...