A History of Solving Problems Unique to Large Health Systems
WebTPA was founded over 30 years ago to address the unique needs of non-profit hospitals. We specialize in solving complex challenges for large health systems, with a focus on maximizing "domestic" healthcare provider utilization.
Enhanced Provider Experience
By enabling electronic verification of eligibility, minimizing the need for phone calls, and offering digital tools to help physician offices and hospital billing practices obtain accurate patient information efficiently, WebTPA makes it possible for providers to spend more time doing what they do best: provide high-quality medical care.
Private Labeling
We provide member-facing materials private labeled to each individual health system to promote their desired naming conventions, culture, and branding.
Domestic Utilization
We excel in administering a tiered network approach that prioritizes and maximizes domestic healthcare provider utilization. This helps hospital health plans save money, ensure quality care, and drive better outcomes.
Reporting
We share utilization reporting on a regular basis to highlight domestic provider usage and claims by tier level.
Domestic Utilization
We excel in administering a tiered network approach that prioritizes and maximizes utilization of our clients' OWN physicians and facilities. This helps hospital health plans save money, ensure quality care, and drive better outcomes.
Enhanced Provider Experience
By enabling electronic verification of eligibility, minimizing the need for phone calls, and offering digital tools to help physician offices and hospital billing practices access accurate information efficiently, we make it possible for our provider clients to spend more time doing what they do best: provide high-quality medical care.
Private Labeling
We customize every aspect of the member experience, from EOB language to branded materials. Our dedicated teams understand the nuances of each hospital health plan we serve.
Wrap Networks
We have continually evolved our client-specific infrastructure in support of tiered networks tied to variable benefit structures while prioritizing domestic utilization and clinical steerage mechanisms. Large health systems specifically are modifying plan designs to promote more domestic utilization, closely evaluating non-domestic spend to explore direct contracts with other local providers, and tightly managing the wrap network in place.
Reporting
Our robust reporting and analytics provide actionable data for addressing benefit plan challenges. We offer financial, utilization, and clinical reporting on demand for transparency in healthcare spending. As the claims administrator, we have direct and immediate access to claims data that can be used to develop strategic outreach campaigns and create continuity in the overall member experience.
