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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

Medicare Advantage audits reveal widespread overbilling

By Ayla Ellison Newly released audits from CMS reveal 35 of 37 health plans audited for 2007 overcharged the federal government and were typically overpaid by several hun
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Hospital Surgery Rates for Workers’ Compensation Vary Widely

Insurance Journal Hospital rates for outpatient surgery paid by workers’ compensation vary significantly across states with states with fixed fee schedules having lower s
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10 things to know about America’s high-cost, high-need population

By Morgan Haefner  High-need adults — those with three or more chronic diseases and functional limitations inhibiting self-care or daily tasks — are seated with some of t
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More U.S. counties to see Obamacare marketplace monopoly: analysis

By Trevor Hunnicutt Nearly a third of U.S. counties likely will be served by only one insurer that participates in an Affordable Care Act (ACA) marketplace in 2017, accor
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Think safety net hospitals are set up to fail on readmissions? Here’s how one is succeeding

By Elizabeth Whitman NEW YORK CITY—During her 9½ years as director of nursing at Bellevue Hospital’s emergency department, Susanne Greenblatt came to know many of i
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Preliminary Data on Insurer Exits and Entrants in 2017 Affordable Care Act Marketplaces

By Cynthia Cox & Ashley Semanskee The following charts provide a preliminary picture of the potential effect insurer exits and entrants may have on competition and co
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Here’s More Bad News for Obamacare

By Chris Matthews Employment is rising, the housing market is coming back, and stocks are hitting record highs. In the September 1st issue of Fortune, a version of this a
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Consultants aggressively compete to help insurers use big data, manage costs

By Bob Herman Deborah Norton is keenly aware health insurance consultants and vendors are everywhere, ready at the drop of a hat to help rip out costs or find ways to bol
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Health First settles antitrust suit on second day of trial

Written by Ayla Ellison Rockledge, Fla.-based Health First has reached a settlement with Melbourne, Fla.-based Omni Healthcare and a group of physicians, resolving a near
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Health Insurers Use Process Intended to Curb Rate Increases to Justify Them

By ROBERT PEAR WASHINGTON — After the Affordable Care Act took effect in 2010, it created a review mechanism intended to prevent exorbitant increases in health insurance
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Aetna to pull out of most Obamacare exchanges

By Tami Luhby In the latest blow to Obamacare, Aetna is vastly reducing its presence on the individual exchanges in 2017. The insurer will stop offering policies on the e
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Register Now for The Phia Group’s August 2016 Webinar!

Unwrapping Your Wraps Tuesday, August 23rd, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now!  Wrap networks provide plans with discounts off billed charges for
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CMS adds new quality measures to nursing home star ratings

By Elizabeth Whitman The CMS has added five new measures that are being gradually factored into its nursing home star ratings intended to help consumers research and comp
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Press Ganey to be bought by private equity firm for $2 billion

By Maria Castellucci (Story updated at 12:33 p.m. ET) Press Ganey, the healthcare consulting firm, announced Tuesday that it will be acquired by Swedish private equity fi
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Register Now for The Phia Group’s August 2016 Webinar!

Unwrapping Your Wraps Tuesday, August 23rd, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now! Wrap networks provide plans with discounts off billed charges for
Continue Reading →