Welcome to Passion for Subro & Self Funding!

The purpose of this site is to share my passion for subrogation and the self insurance industry with all of you.  My goal is that this site will become your number one destination for health insurance information.
Whether you are looking for the latest on health care reform, the most recent subrogation and reimbursement case, or want to be a self funding guru this is the place for you.  While I hope that this site serves as a great educational resource for all of you, I also hope to keep you entertained with the funny, confusing and just plain weird world of subrogation and self funding.
I would love your feedback and any newsworthy items you may have to make this site even better.


Recent Posts

8 major takeaways from ERISA litigation in 2014

Employee Benefit Advisor This has been a busy year in the courts, with litigation challenging a variety of issues in the employee benefits arena. Here are the eight major
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Ocean Surgery Center offers cash prices on the West Coast

Posted by sean@impactpolicymanagement.com I’ve written about and mentioned on several occasions two surgical facilities that offer cash prices for self-pay patients, the
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After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know

By ELISABETH ROSENTHAL Before his three-hour neck surgery for herniated disks in December, Peter Drier, 37, signed a pile of consent forms. A bank technology manager who
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NAIC White Paper

WHITE PAPER STOP LOSS INSURANCE, SELF FUNDING AND THE ACA I. Introduction Since the passage of the Patient Protection and Affordable Care Act of 20101 (ACA), there has be
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Texas C.P.R.C. c. 140: The New Standard for Subrogation Rights

Texas health plans seeking reimbursement via subrogation, are now forced to deal with new guidelines. C.P.R.C. c. 140, governing subrogation, went into effect January 1,
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‘Striking change’ in employer-sponsored health care premiums

By Leah Shepherd The days of double-digit health insurance premium increases seem to be behind us, according to a study released today by the Kaiser Family Foundation and
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SIIA State Legislative/Regulatory Update Report

Exclusive Reporting for the Week of September 10, 2014 September 10, 2014 — This is your weekly update of state legislative/regulatory developments affecting compan
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Full D.C. appeals court expected to uphold ACA subsidies

By Paul Demko and Bob Herman The District of Columbia U.S. Circuit Court of Appeals in Washington on Thursday said the full 11-member court will rehear (PDF) the controve
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State Legislative/Regulatory News

Self-Insurance Institute of America, Inc. Exclusive Reporting for the Week of September 4, 2014 September 4, 2014 — This is your weekly update of state legislative/
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AAPAN Releases Part Two of Self-Funded Insurance White Paper

September 5, 2014 Today, we released the second part of a three-part series examining the self-funded insurance market – with a focus on the important role Third Party Ad
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The Phia Group, LLC Announces Exclusive U.S. Relationship with Jason Davis

September 2, 2014; Braintree, MA The Phia Group LLC, one of the health benefit industry’s leading cost-containment service providers, announces that we have agreed
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Administration Offers Contraception Compromise for Religious Employers

By Louise Radnofsky WASHINGTON—The Obama administration outlined a new compromise Friday aimed at shielding religious business owners and Christian universities and chari
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Obama administration floats new prescription contraceptive rules

By Jerry Geisel The Obama administration sought Friday to end a long-running controversy by proposing new ways to enable employees of nonprofit religiously affiliated org
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Reform Update: GOP likely to focus on repealing medical device tax, employer mandate

By Paul Demko If Republicans win control of the Senate in November, which most political forecasters rate as a better-than-even proposition, they almost certainly will vo
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California: Insurers must cover elective abortions

By Associated Press Health insurance companies in California may not refuse to cover the cost of abortions, state insurance officials have ruled in a reversal of policy s
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