Cincinnati among nation’s most-distressed cities

Cincinnati Business Courier Cincinnati is one of the most-distressed cities in the U.S., according to a new ranking from the New York Times. The Queen City was No. 10 on the list, which shows that the most prosperous communities in the nation have gotten richer since the end of the Gr
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TPA of Self-Insured Health Plan Not Subject to Texas Prompt-Pay Law

From the February 18, 2016 EBIA Weekly [Health Care Serv. Corp. v. Methodist Hosps. of Dallas, 2016 WL 530680 (5th Cir. 2016)] Available at http://www.ca5.uscourts.gov/opinions/pub/15/15-10154-CV0.pdf The Fifth Circuit has ruled that a third-party administrator (TPA) of employer-spons
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How to cut your health-care bill: Pay cash

By Melinda Beck As consumers get savvier about shopping for health care, some are finding a curious trend: More hospitals, imaging centers, outpatient surgery centers and pharmacy chains will give them deep discounts if they pay cash instead of using insurance.
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BREAKING: CMS and health insurers unveil first set of standardized quality measures

By Melanie Evans The CMS and America’s Health Insurance Plans, health plans’ trade group, announced a new agreement to standardize measures of quality for the nation’s doctors. Officials say the measures are necessary as payers and consumers seek to shop for high-qua
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The Top 10 Lessons of a Reference Based Pricer

By Jason Davis Where to gather to discuss reference based pricing (RBP), you will have three opinions. Read more…
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Future sustainability concerns Aetna CEO

By Zachary Tracer Bloomberg News The head of the third-biggest U.S. health insurer said he has “serious concerns” about whether or not the Affordable Care Act’s new markets are sustainable, echoing criticism from other top for-profit insurers.
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The Phia Group on the High Cost of Healthcare

The Phia Group’s business is focused on reducing the cost of healthcare, and part of reducing the cost is identifying those elements of the healthcare market that drive costs up. As part of an ongoing study of the drivers – and potential fixes – for the astronomical costs of healthcar
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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 plan participant in the case of Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan
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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 plan participant in the case of Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan
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