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

Aetna to subsidize Apple Watch for health monitoring

By Morgan Haefner  Health insurer Aetna will subsidize Apple Watches for select large employers and individual policyholders during November’s open enrollment as a
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Selling Obamacare: Millennials get pitch on Twitch for health insurance sign-ups

By Dan Mangan It’s game-on in a new effort to get millennials to buy into Obamacare — and strengthen the financial performance of health insurance plans. Federal of
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Register Now for The Phia Group’s October 2016 Webinar!

How Low Can You Go? Managing Specialty Drugs, Reducing Overall Pharmacy Spend, and Unraveling the Mystery Behind PBMs Thursday, October 27th, 2016 1:00 PM (EST) to 2:00 P
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“Recoupment or Embezzlement? Cross-plan offsets in the crosshairs”

By Andrew Silverio When a self funded employee benefit plan, or indeed any payer of health benefits, overpays a benefit claim to a medical provider, it is often a tall ta
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Obamacare’s future at stake in election

PBS NEWSHOUR One big issue at stake in this election is President Obama’s signature domestic achievement: the Affordable Care Act. While Hillary Clinton wants to preserve
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Mylan CEO defends price hikes during heated EpiPen hearing: 5 takeaways

By Mackenzie Bean Members of Congress grilled Mylan CEO Heather Bresch with questions about the high price of EpiPens during her Wednesday hearing with the House Committe
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Medicare EpiPen spending outpaces prescription growth: Kaiser report

Reuters NEW YORK (Reuters) – U.S. government spending on Mylan Inc’s <MYL.O> EpiPen in the Medicare program for seniors and the disabled rose 1,151 perc
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Obamacare Doesn’t Cost More Than Other Health Insurance, Report Finds

By Maggie Fox Obamacare may have come under fire for rising health insurance premiums, but plans offered by employers, which cover far more people, are rising even faster
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Audit says home health care companies overbilled Mass. Medicaid by $23m

By Priyanka Dayal McCluskey The state’s Medicaid program was routinely billed for home health care services that were never provided or were not medically necessary. Prov
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BCBS NC to pay $3.6M for billing, enrollment problems

By Brooke Murphy The North Carolina department of insurance has issued a $3.6 million fine against Blue Cross and Blue Shield of North Carolina for chronic IT malfunction
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Employees Are Paying A Bigger Chunk Of Health Insurance Costs

By Alison Kodjak High deductible health plans are the new normal. Just over half of employees this year have a health insurance policy with a deductible of at least $1,00
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Slavitt says high premium increases are result of one-time effects

By Shannon Muchmore Lawmakers cited contrasting headlines to assess the performance of the Affordable Care Act during a hearing Wednesday where acting CMS Administrator A
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Would You Like Some Insurance With Your Insurance?

By Bram Sable-Smith For the first time in her life, 26-year-old freelance designer Susannah Lohr had to shop for health insurance this year. She called up a major insurer
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Judge allows class-action antitrust suit against NorthShore to proceed

Written by Ayla Ellison U.S. District Judge Edmond E. Chang denied Evanston, Ill.-based NorthShore University HealthSystem’s motion for summary judgment Sept. 9 in
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Register Now for The Phia Group’s September 2016 Webinar!

Independent Consultation & Evaluation: ICE, ICE, Baby! Thursday, September 22nd, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now! Our industry is plagued b
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