Could there be an amendment effective 2015 hiding out there?
I could be naïve in my old age, but it is hard to imagine there are still "bad" TPAs.
On second thought, I worked for a bundled provider 7 years ago, I pointed out what they were allowing in a plan I reviewed was an operational failure. They acknowledged it was, but they didn't want to change because "it might upset the client" and the bundled provider had been doing it wrong for years.
I stuck around for about 3 more weeks and started my own firm.