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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

LAST CHANCE! Montanile Changes Subrogation – How Will You Respond?

Take Your Money and Run! Montanile Changes Subrogation – How Will You Respond? On January 20, 2016, The Supreme Court of the United States decided in favor of the p
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Montanile Changes Subrogation – How Will You Respond?

Take Your Money and Run! Montanile Changes Subrogation – How Will You Respond? On January 20, 2016, The Supreme Court of the United States decided in favor of the p
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Montanile Changes Subrogation – How Will You Respond?

Take Your Money and Run! Montanile Changes Subrogation – How Will You Respond? On January 20, 2016, The Supreme Court of the United States decided in favor of the p
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Check The Fine Print: Some Work-Based Health Plans Exclude Outpatient Surgeries

By Jay Hancock Libbi Stovall couldn’t believe it last month when she looked at the fine print in her company’s 2016 health plan, which supposedly meets the strictest stan
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How to Proactively Manage Self-Funded Employer Health Plans Recommendations by a Hospital Legal Advisor

MyHealthGuide Source: Emily M. Scott As more patients join self-funded plans, hospitals face new challenges regarding billing and collection. The Chargemaster Challenge T
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ERISA Plan Cannot Recover Settlement Funds That Have Been Spent

MyHealthGuide Source: William H. Payne IV and René E. Thorne Case: Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan, Supreme Court Rul
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Commentary: ‘The Price Ain’t Right’ ain’t right

By Bruce Vladeck It’s not every day that an unpublished academic study rates a front-page story in the New York Times, let alone an additional continuation page rep
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The Experts Were Wrong About the Best Places for Better and Cheaper Health Care

By KEVIN QUEALY and MARGOT SANGER-KATZ GRAND JUNCTION, Colo. — As part of his push for the Affordable Care Act in 2009, President Obama came to Central High School to lau
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The Phia Group Introduces PgcReferral@phiagroup.com

PgcReferral@phiagroup.com 2016 is here, and we continue to receive an influx of employer questions and concerns regarding the changing industry, ACA compliance, cost-cont
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U.S. Supreme Court Rules Against Subrogation Rights … What Now?!!

EARLY IDENTIFICATION, INTERVENTION AND STRONG PLAN LANGUAGE HAVE NEVER BEEN MORE IMPORTANT!!! In the last hour, The Supreme Court of the United States issued an 8-1 decis
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The Phia Group’s January Webinar: Available for Download!

We’re proud to announce that the video, audio, and a PDF version of the slide deck from today’s presentation are all available for download here: (https://www.phiagroup.c
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The Phia Group’s January 2016 Webinar – Last Chance to Register Now!

TOMORROW! Saving Stop-Loss: Protecting a Key Self-Funding Ingredient in a Hostile World TOMORROW! Tuesday, January 19th, 2016 1:00 PM (EST) to 2:00 PM Last Chance –
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Secrets to Making Reference-based Pricing Work

MyHealthGuide Source: Adam Russo, Esq.,1/14/2016, Thompson Information Services Blog In order for reference-based pricing (RBP) to work, health plan sponsors should do it
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Florida Business Coalition Set to Revolutionize Health Benefits Purchasing

By Dave Chase Template Set for Business Coalitions on Health Around the Country After many years of de minimis impact on slowing healthcare’s hyperinflation, business coa
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The Phia Group’s January 2016 Webinar – Register Now!

Saving Stop-Loss: Protecting a Key Self-Funding Ingredient in a Hostile World Tuesday, January 19th, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Today! Stop-lo
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