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Cover Story
IRIS Health Services: Transforming Health Insurance through Acumen, Innovation and Care
Health insurance Third-Party Administrators (TPAs) have a thankless job. They are not the big, recognizable brand names we buy our insurance policies from, the household names we rely on when things get tough, but they are the ones who give those policies legs, and put them to work for us to get us the care we need, when and where we need it. A regular day at a TPA is like being in a no man’s land, bombarded from all sides. Hospitals, clinics, and pharmacies seek approvals for tests and treatments as well as payments. Sick patients clamor to know why care requests are being turned down. Regulators issue new guidelines and product lists. Insurance and reinsurance companies keep an eye on how much of the policy, is used, how and why, and brokers and corporates look for the best...
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