Dialed-In on the Virtual Care Journey
Third-Party Administrators (TPAs) have long operated behind the scenes in healthcare, shaping insurance plans and managing benefits in ways most consumers never realize. But as healthcare costs continue to climb faster than the broader economy, employers are increasingly seeking flexibility, innovation, and cost-containment strategies. According to the Centers for Medicare & Medicaid Services (CMS), U.S. healthcare spending is projected to rise to 20.3% of GDP by 2033. So, what exactly do TPAs do, and how are they driving the future of virtual care in an increasingly digital-first healthcare landscape? In this episode of Dialed In on the Virtual Care Journey, host Becca Bean, Senior Vice President of Dialcare, sits down with Anthony Schelfhout, Sales Manager at Dialcare, to unpack the world of TPAs. Together, they explore how these organizations function, why they’re uniquely positioned to deliver cost savings, and the critical role they play in advancing telehealth adoption for both employers and employees. Key Discussion Highlights TPAs as innovators: Once focused on claims administration, TPAs have evolved into strategic partners driving customized, high-performing health plans with built-in cost-containment solutions like virtual care. Flexibility and choice: Unlike large insurance carriers, TPAs offer employers a range of vendor partnerships—from wellness programs to telehealth—tailored to workforce needs and budgets. The future of virtual primary care: With physician shortages and growing care deserts, TPAs are helping build “virtual HMOs,” positioning virtual primary care as the hub of employee health management. Anthony Schelfhout is a seasoned leader in the telehealth and insurance benefits space, bringing more than 13 years of experience to his role as Sales Manager at Dialcare. His career spans insurance sales, consulting, and PEO operations, culminating in deep expertise in telehealth solutions. Known for his strategic insights into cost containment and benefit design, Anthony has become a trusted voice in helping employers and TPAs navigate the evolving healthcare ecosystem.
11 episodios
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