Study finds shocking regional variation in medical charges

By Dan Cook Employers have been grappling with the widely varying prices medical providers in different regions of the U.S. charge for the same procedure. A report that offers a highly detailed look at those variances is certain to be discouraging to those trying to rein in health ins
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Judge rules against hospital in bill dispute

By Paul Collins A judge in Henry County Circuit Court has ruled that PHC-Martinsville Inc. (trading as Memorial Hospital of Martinsville & Henry County) is entitled to only one-fourth of the $111,115.37 the hospital billed Glenn Michael Dennis for services rendered when he was tre
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Survey Finds Healthcare Providers Changing Their Approach To Employee Health Plans

Valence Health CHICAGO, April 28, 2016 (GLOBE NEWSWIRE) — Valence Health, a leading provider of clinical integration, population health, and value-based solutions and services, and the American Society for Healthcare Human Resources(ASHHRA), today announced new research indicati
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Reference-Based Pricing Webinar: Unraveling FAQ #31

UNRAVELING FAQ #31 Monday, May 2nd, 2016 3:30 PM (EST) to 4:30 PM Join Us – Register Now! Reference-based pricing is unquestionably a hot topic in the self-funded industry today. So hot, in fact, that the federal government has taken an active interest in it for the third time n
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Why Plan Sponsors should be Upfront with Workers about Self-funding

By Zack Pace, Senior Vice President, CBIZ, Inc., Employee Benefit News (Full text) (EBN) Self-funded health plans don’t have health insurers, only health plan administrators. The knowledge that their employers are paying the claims of the plans dramatically changes employees ent
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Price of Business

Guest host Bill Knapik and Adam Russo discuss who the Phia Group is and how it relates to FMMA on this 4/11/16 segment of The Price of Business. Please click here to listen to the full segment!
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Apr. 20: UnitedHealth To Exit Most ACA Exchange Markets In 2017

NAHU Newswire On Tuesday, UnitedHealth Group’s announcement that it will limit its participation in Affordable Care Act exchanges to just “a handful of states” starting in 2017 received extensive media coverage, including television and print. The company cited growing losses in this
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New health insurance model means lower premiums for students, scholars

By Paula Van Brocklin Iowa State students and visiting scholars who qualify for the Student and Scholars Health Insurance Plan (SSHIP) will have more money in their pockets beginning this fall. On Aug. 1 (with open enrollment starting July 1), students and visiting scholars at all par
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Plan’s Reimbursement in Third-Party Recovery Case Limited by Plan Terms and Common-Fund Doctrine

Topic(s): ERISA Compliance for Health & Welfare Plans; Self-Insured Health Plans US Airways, Inc. v. McCutchen, 2016 WL 1156778 (W.D. Pa. 2016) After a plan participant was injured in a car accident and recovered money from third parties, the plan administrator sought reimbursemen
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Yes, you are paying more for your health insurance

By Emma Court It’s only getting more expensive to pay for health care. That’s a common complaint, but a new study from the Kaiser Family Foundation finds there’s support behind the idea, with people on employer-sponsored plans paying more out-of-pocket for services their plan covers o
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