SPBA 2025: The Wake-Up Call TPAs Can't Afford to Ignore

October 29, 2025 Key Takeaways from the Society of Professional Benefit Administrators Fall Meeting

The SPBA 2025 Fall Meeting in Indianapolis wasn't just another industry conference — it was a wake-up call for TPAs and stop-loss carriers to take immediate action against runaway claims costs.

Lou Fiscella, VP of Sales at H.H.C. Group, shared:

"SPBA brought important clarity to where the industry is headed. The conversations weren't about trends — they were about taking action to control claims costs before they spiral further."

That impact starts with how we handle claims — and more importantly, how we stop letting inflated provider charges drain plan assets.

What We Heard on the Ground

The discussions weren't theoretical — they were real, urgent, and focused on what's breaking down:

• Out-of-network claims are still a blind spot for many TPAs.
• In-network pricing lacks predictability, and contracts don't always guarantee value.
• MSK costs and dialysis claims are outpacing budgets.
• Workers' compensation delays are growing, with some vendors taking weeks to resolve cases.
• Everyone's asking: Where are we still bleeding dollars?

In short, the pressure is mounting — and the solutions can't wait until next quarter.

How H.H.C. Group Helps You Take Back Control

The good news? There are proven ways to regain control — and that's where H.H.C. Group comes in.



H.H.C. Group doesn't just contain costs; we help TPAs command their claims process.

Here's how:

• Attorney-Led Claim Negotiation: Slash large-dollar claims by up to 90%, even with PE-backed providers.
• Access to Major Preferred Provider Networks: Leverage existing agreements to maximize savings on claims down to $1.
• Independent Reviews/Utilization Reviews: Maintain plan integrity with unbiased medical necessity reviews by board-certified specialists — trusted by payors to validate care and support defensible decisions.
• Reference-Based Pricing: Anchor payments to fair, transparent benchmarks — not inflated fee structures.
• Fast Turnaround: Most claims resolved in 5–7 business days to keep you ahead of aggressive billing tactics.
• 30 Years of Proven Results: With a proven 30-year track record of negotiating both in- and out-of-network facility claims, H.H.C. Group remains a trusted partner for cost containment nationwide.

This Isn't Business As Usual — It's a Moment to Move

SPBA 2025 confirmed what many TPAs already feel: the gap between what's paid and what could be saved is wider than ever — and that's exactly where H.H.C. Group operates.

If we met at the conference, let's reconnect. If we didn't get a chance to talk, let's change that now.

Let's turn SPBA insights into action. Connect with HHC Group today to discuss your toughest claims and discover how much more your plans could be saving.

Because every claim you leave unchallenged today becomes next year's loss.

Real People. Real Savings.