TPA Networkhas been at the forefront of innovation in the TPA industry since 1985. Indeed, our experience dates back to the beginning of the health insurance industry, more than 50 years ago.
Principals of our firm have helped to shape and develop some of the earliest forms of group health insurance in the '60s. We were there in the '70s and '80s when the TPA industry took hold and expanded rapidly. When federal legislation threatened to make the industry more cumbersome, we represented hundreds of TPAs (and millions of plan participants) at hearings before the U.S. Congress. We have counseled governments and think tanks, published numerous articles, and spoken extensively on topics of interest and concern to TPAs, health insurers and managed care organizations.
TPA Network's principals and network of experts include professionals with a wide variety of backgrounds and decades of hands-on experience in the design, operation, management and marketing of large-scale administrative operations both in the U.S. and offshore, including extensive experience working with both small and large-scale health insurers, TPAs, HMOs and other healthplan administration entities. Our principals and associates have started and operated TPAs, managed care organizations, and business process outsourcing firms, both in the U.S. and abroad. Over the years our clients have included a diverse group of health insurers, HMOs, and Fortune 500’s with names such as Prudential, Fidelity Insurance Group, Xerox, New York Life, UNYSIS, the American Healthcare Association, General de Seguros, and Computer Sciences Corporation. We have advised and represented several allied service vendors to the industry and have performed numerous research, consulting, valuation and merger and acquisition assignments. And because we have business and/or personal relationships with the principals and executive management of more than 200 TPAs, PPOs, HMOs, and health insurers we are often engaged to facilitate introductions and negotiate deals.
The profiles of TPA Network's principal consultants follow:
Nick Cole helped pioneer the health insurance industry in 1960 at Connecticut General Life Ins. Co. (now CIGNA). In 1962, Nick helped establish the Massachusetts General Life Insurance Company (a unit of the world-renowned hospital) where he hired and trained several people who later went on to build some of the country’s largest TPAs. Nick was in management at the Bankers Life of Des Moines (now Principal Financial Group) then spent a few years in the aviation and hotel industries. Nick returned to the benefits industry to lead the marketing efforts of Group Administration Support Products and in 1985 he founded TPA Network, which was soon engaged by Computer Science Corporation to introduce the concept of outsourcing to TPAs. Nick was among the first to bring document imaging to TPAs with eClaimScan, LLC. Over the years, Nick and TPA Network have facilitated many TPA mergers and acquisitions.
Richard L. Nicholas
Richard Nicholas has more than 35 years of experience in the health insurance, employee benefits and managed care industries. He has served as Sr. Vice President of both ALTA Health Strategies (the country's largest TPA at the time) and UltraLink, Inc. (the first national HMO network manager). He was Chief Consultant at FHP Healthcare (then the 5th largest HMO in the U.S.) and an advisor to Prudential, NYLCare, Xerox, UNYSIS, CSC and the Mexican government. Richard helped pioneer managed care in México and he owned and operated a México-based claims outsourcing firm that supported U.S. health insurers, HMOs and TPAs. He is the author of several articles, papers and a book on corporate healthcare cost management, and he has represented 200+ TPAs at hearings before the U.S. Congress, Committee on Ways & Means. Richard has been affiliated with TPA Network since its founding.