TPA or no TPA, the debate restorers keep having
Archive story from the 2026-06-08 edition. This is the reporting as filed; source publication and event dates may differ. Check the dated storyline for subsequent developments.
Trade press revisited the standing choice for operators: take program work for volume, or stay independent and protect margin.
Trade press laid out the recurring strategic question for operators: take third-party-administrator program work for volume, or stay independent and protect margin and control.
Why it matters
This is the core growth-vs-margin fork for a mid-size shop scaling up, and it shapes staffing, cash flow, and who owns the customer.
Our assessment
The way this gets argued, you are either all in on program work or all the way out of it. Neither is a strategy. A program mix is a number you set on purpose and shrink as direct demand grows, and most shops never set it at all. Work out what share of last year's revenue came through programs, then write down the share you want by December.
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Trade press High confidence at publication
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Terms in this story: TPA (Third-Party Administrator)