New PeakTPA Expanding Beyond PACE Market
MOORESTOWN, NJ, SEPTEMBER 10, 2019 – Tabula Rasa HealthCare (NASDAQ:TRHC), a leading provider of technology-enabled solutions to mitigate medication risk and improve health plan operations, today announced that its Peak Health Plan Management and eClusive units, providers of third party administration services (TPA), have combined and now operate as PeakTPA.
PeakTPA processes insurance claims and provides “back office” services to healthcare organizations for optimized financial management and regulatory compliance. Services include claims adjudication, enrollment management, accounts receivable, and more.
PeakTPA is the market leader in health plan management for Programs of All-inclusive Care for the Elderly (PACE). PACE is a federal program benefiting individuals 55 and older who are nursing home eligible. PACE includes 260 centers in 31 states serving a growing number of eligible Medicare and Medicaid participants.
“We are pleased to partner with eClusive to form the new PeakTPA team,” said Patty Bailey, CEO of PeakTPA, who served in this role for Peak Health Plan Management. “Their experience in claims adjudication, combined with Peak’s expertise and commitment to superior customer care, will enable us to deliver services that are precisely tailored to each client’s needs. Both our expanded team and our new name will be beneficial as we look to grow beyond the PACE market.” The term “TPA” is used more frequently in non-PACE markets.
PeakTPA operates as part of TRHC’s CareVention HealthCare Division, which focuses on providing integrated services to PACE organizations and other value-based healthcare providers. About 80% of PACE organizations use at least one CareVention service.
About Tabula Rasa HealthCare
Tabula Rasa HealthCare (TRHC) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize patient outcomes, lower healthcare costs and improve organizational performance. Medication risk management is TRHC’s lead offering, and its cloud-based software applications, including EireneRx® and MedWise®, provide solutions for a range of payers, providers and other healthcare organizations. For more information, visit TRHC.com.
PeakTPA assures that value-based healthcare organizations meet all related financial management and regulatory requirements, including accurate claims adjudication and payment; provider and member services; risk adjustment submission; encounter data submission; and Medicare Part D reporting. With customer-focused and PACE-specific approaches, PeakTPA helps organizations remain compliant, obtain accurate reimbursement, and measure performance. For more information, visit PeakTPA.com.