Texas Prompt Pay Law Not Preempted; Enforceable Against Self-Insured Health Plan TPAs

EBIA Weekly A federal district court has ruled that ERISA does not preempt the Texas Prompt Payment Act as it applies to TPAs of self-insured benefit plans. The state law generally requires “insurers” to pay benefit claims within 30 or 45 days (depending on the claim’s format), or fac
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Are Smaller Companies Poised to Self-fund Health Care?

By David McCann The percentage of U.S. workers covered by health plans that are at least partially self-funded by their employers has been rising gradually for many years, reaching 61% in 2014, compared with 44% back in 1999, according to the Kaiser Family Foundation.
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UnitedHealth Has Approached Aetna About a Takeover

The Wall Street Journal UnitedHealth Group Inc. has approached Aetna Inc. about a takeover deal that would likely be valued at more than $40 billion, according to people familiar with the matter, the latest move in a frenzy of merger talks in the health-insurance industry. The approac
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Data Shows Large Rise in List Prices at Hospitals

By MARGOT SANGER-KATZ and KATIE THOMAS The prices that hospitals ask customers to pay for a series of common procedures have increased by more than 10 percent between 2011 and 2013 — more than double the rate of inflation. Read more…
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QBE Accident & Health Introduces Group Critical Illness Product for Self-Funded Employers

QBE Accident & Health, 5/26/2015 New York, NY – QBE North America’s Accident and Health division now offers one of the most comprehensive Critical Illness products on the market in a new employer-paid Group Critical Illness enhancement for its medical stop loss product. By p
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