TPAs

Trusted TPA Partners Delivering Millions in Savings Nationwide

Memberly partners exclusively with top-performing TPAs that bring transparency, scale, and innovation to every health plan we build.

Third-Party Administrators (TPAs) are the backbone of every self-funded health plan. Memberly partners with some of the largest and most experienced TPAs in the country—organizations with the scale and infrastructure to handle clients ranging from small employers to thousands of covered lives. Selecting the right TPA requires a deep understanding of the industry landscape, including which administrators best fit a plan’s size, region, funding type, and budget. Not all TPAs are created equal—and Memberly has the national landscape mapped to find the right match for every client.

Scalable Solutions for Large Groups

Our large-case TPA partners specialize in high-volume administration, smooth migrations, advanced cost controls, and national support.

Memberly identifies and integrates only those TPAs with proven performance for enterprise-level employers—ensuring seamless transitions, transparent reporting, and consistent member experience, regardless of company size or complexity.

Savings Through Transparency

Memberly’s hand-selected TPAs are built for transparency—passing pharmacy rebates, network credits, and other cost offsets directly back to clients.

By pairing the right TPA, network, and PBM strategy, employers often see administrative costs reduced to as little as $5 per employee per month, capturing every possible savings opportunity. Our data-driven TPA strategies have saved clients millions of dollars annually while improving plan performance.

Boutique Options for Small Employers

Memberly doesn’t just focus on large groups—we help the smallest employers benefit from self-funded plan efficiencies too.Through our network of boutique TPAs, businesses with as few as two employees can access affordable, compliant administration and tailored plan options that grow with their workforce.Our track record includes helping small employers save hundreds of thousands while improving benefits access.

PPO vs. Reference-Based Pricing (RBP)

Every employer’s needs are different. Some prefer the familiarity of national PPO networks like Aetna or Blue Cross Blue Shield, while others seek the deeper savings of Reference-Based Pricing (RBP) models. Memberly’s TPA partners can support either model—or even combine them into a hybrid PPO-RBP design, giving employers and employees more choice, control, and cost efficiency than ever before.