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 plan participant in the case of Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan
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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 standard for employer obligations under federal rules. Read more…
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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 The increase in self-funded employer health plans has triggered an unintended consequence for hospitals with respect
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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 Ruling The U.S. Supreme Court has narrowed, ever so slightly, the ever-changing definition of “appropriate equit
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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By Bruce Vladeck It’s not every day that an unpublished academic study rates a front-page story in the New York Times, let alone an additional continuation page replete with graphics, but that was the treatment accorded to the study titled “The Price Ain’t Right? Hospital
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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 laud this community as a model of better, cheaper health care. “You’re getting better results while wasting less money
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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-containment best practices, and more. In light of all this uncertainty, we want to remind you that Phia’s consult
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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 decision in favor of the plan participant in the case of Montanile v. Board of Trustee of the National Elevator Industry
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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.com/savingstoploss). If you were able to tune in, we hope you enjoyed the presentation; if not, we hope you enjoy it
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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 – Register Now! Stop-loss insurance is one of the – if not the – most important piece of the self-funded
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