The hidden cost of disconnected tools

Disjointed systems do more than frustrate employees. They create inefficiencies that ripple across the entire benefits journey.

When transparency tools do not connect to provider directories or claim workflows, employees are left guessing. Confusion drives low engagement, and HR teams often are not equipped to bridge the gaps.

It adds up to wasted time, frustrated employees and lost trust. Employers want connected experiences that eliminate friction and deliver clarity.

Transparency is not helpful if it lives in a silo. Employers want answers that show up in the same place employees make decisions.


Why employers are ready for all-in-one healthcare platforms

Rising premiums. Higher deductibles. Increased pressure to prove ROI. Employers are navigating a complex benefits experience and many realize point solutions cannot deliver the clarity or insight employees need.

Instead of managing an assortment of disconnected tools, employers want platforms that simplify, connect and deliver. They are looking for end-to-end technology that helps employees make smarter care decisions, reduces administrative friction and improves satisfaction.

Fewer vendors
Less administrative overhead and fewer handoffs to manage
Connected journeys
Guidance that ties together directory, cost, claims and next steps
Measurable outcomes
Higher engagement and clearer proof of value from benefits investments

What the data tells us: Employers are moving fast

Employers are not just talking about change. They are making moves, reworking strategies and evaluating partners based on performance.

81%
Made cost management changes in the past 12–24 months
~50%
Considering switching carriers or vendors to manage costs
~60%
Offer price transparency tools but satisfaction and usage are lagging

This momentum signals a shift toward holistic, data-driven benefits strategies. Employers want partners who can bridge silos to help optimize spend, improve employee experience and deliver outcomes they can actually see.


What seamless benefits technology looks like

From an employer’s perspective, seamless technology is not about flash. It is about results: clear answers, fewer workarounds and an experience employees will actually use.

Seamless data flow
Connect transparency with provider directories, claims workflows and prior authorization systems
Personalized experiences
Interfaces designed for different demographics and levels of digital fluency
Multi-channel communication
Clear medical payment explanations paired with responsive support

Unified platforms that bring transparency, analytics and engagement into one ecosystem are no longer a nice-to-have. They are essential.


How TPAs can close the performance gap

Employees keep asking for the same thing: I want to know what I will pay and where to go. Employers agree. They rate transparency tools as critical, but they are underwhelmed by what is available.

63%
Rate transparency tools as “very important”
47%
Say their current tools are “excellent”
16
Point satisfaction gap, the widest among digital health tools

That gap is a clear signal that first-generation solutions are not meeting the moment. The TPAs that deliver a connected benefits experience, not just features, will stand out.

That can mean integrated solutions tailored to employee needs, such as mobile-first interfaces for younger employees, simplified views for older populations and real-time cost estimates that reflect what employees will actually pay.


Why this matters now: The stakes for TPAs and carriers

The market is shifting fast. More than a third of employers say they are likely to switch their primary insurance carrier in the next year, and performance-based decision-making is replacing legacy relationships.

Carriers and TPAs that deliver connected, high-performance transparency tools are earning trust. The ones that make healthcare simpler and outcomes measurable are defining the new standard.

Employers are not asking for more fragmentation. They are asking for simple, connected tools that reshape how employees engage with care and that begins with transparency.

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Source: Proprietary research commissioned by Zelis and led by Datos Insights.