How TPAs Can MakePost-Pay Reimbursements a Competitive Advantage
For all of the attention on AI and pre-payment accuracy, TPAs must not lose sight of the fact that post-pay reimbursement is an area that’s also evolving. Yet inaction remains a common everyday reality.
Post-pay reimbursement is not about potential savings but refunding actual dollars that go right to the bottom line. Recovering up to 1% of annual claim spend in reimbursements can make a profound impact. And TPAs have numerous levers to mitigate leakage through changes in approach, mindset, and technology, without intensive capital investment or buildout.
This conversation between PBA President Jeff Walter and Intellivo CEO Laura Hescock explores PBA’s post-pay reimbursement journey and what the company has learned.
Featured Speakers
Laura Hescock, CEO of Intellivo
Laura Hescock is the CEO of Intellivo, a healthcare subrogation technology firm that has been serving health plans and TPAs for more than 25 years. Laura is a visionary leader and seasoned executive in the area of healthcare cost containment, specializing in technology transformation and automation.
Jeff Walter, President of PBA
After completing his Navy service in 1989, Jeff Walter joined Professional Benefit Administrators (PBA), a family-owned TPA. Much of his career at PBA has been spent in the development of systems, technology integration, and strengthening operations. Having also worked in sales, vendor management, finance, security and operations, Jeff now leads PBA as its President. He is currently transitioning the company to the second generation, developing leadership from within and preparing PBA for the challenges ahead. Jeff is passionate about partnering with consultants who actively help their clients manage health plan costs and pairing clients with the right vendor partner for meaningful health plan cost management.