Blog Posts

What does a “modern TPA” look like in 2025? It’s a question we’ve heard often, and for good reason. The role of third-party administrators has transformed dramatically in recent years. Once viewed mainly as claims processors, today’s TPAs are expected to be problem-solvers, strategists, and member advocates. In 2025, a “modern TPA” is defined not just by what it does, but by how it operates, balancing technology, collaboration, and care in ways that keep pace with a fast-evolving healthcare landscape. So, what does that look like in practice?

Smarter Technology, Used Thoughtfully

Artificial intelligence, automation, and predictive analytics are transforming the way benefits are managed. But technology alone isn’t the answer; it’s how that technology is applied that makes the difference.

At Boon-Chapman, decades of experience in plan administration guide how new tools are integrated. Our high-quality medical management platform was built with efficiency in mind, while improved member portals simplify everyday interactions. The result is not just a more efficient process, but an experience that feels less fragmented and more supportive for both employers and employees.

Independence That Encourages Flexibility

Unlike many TPAs owned by larger entities, Boon-Chapman has remained independent since its founding in 1961. That independence matters in 2025 because it creates space for true flexibility.

A modern TPA should be able to adapt benefits strategies to meet the unique needs of every group, not force employers into one-size-fits-all solutions. Independence means decisions can be driven by what works best for clients and their members, not what benefits a parent company.

Care that Extends Beyond Administration

Technology may be advancing quickly, but healthcare is still deeply personal. A modern TPA doesn’t lose sight of that.

With Care Navigation, Boon-Chapman supports members through some of their most stressful healthcare moments, helping with referrals, scheduling surgeries, coordinating travel, and even guiding recovery. It’s an approach that goes beyond claims to provide peace of mind when it matters most.

Preparing for the Future of Work and Care

The healthcare industry is facing new pressures: rising costs, evolving compliance requirements, and the need for greater transparency. A modern TPA must be proactive, not reactive, in addressing these changes.

Boon-Chapman’s use of data, analytics, and the resources of its sister company Soluta helps employers and brokers stay ahead of shifting regulations and market trends. At the same time, a focus on compliance, like our 99.56% claims accuracy rate backed by independent auditing, helps ensure stability for groups of all sizes.

The Bottom Line

In 2025, a modern TPA is more than a vendor. It’s a partner that understands the complexity of healthcare, applies technology with care, and never loses sight of the people it serves.

That’s the standard Boon-Chapman strives toward each day: combining innovation with humanity to deliver not just better benefits, but better experiences.

Want to explore how a modern TPA can change the game for your organization? Contact [email protected] today to learn more.