Bite the Hand

By: Ron Peck, Esq. In case you missed it, there is a movement afoot.  It’s found some real purchase in California, but you hear rumblings everywhere.  A call for a single payer system.  Medicare for all.  I’m going to avoid discussing the pros and cons of this idea, as it relates to p
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It’s Never Too Soon

By: Jen McCormick, Esq. Although the regulations may change, it’s important to begin thinking about plan changes for the upcoming plan year.  The specifics for compliance requirements may still be unclear, employers should already be in process of contemplating cost containment
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Dear Stop-Loss: A Ballad

By: Jon Jablon, Esq.   Author’s Note: Written in ballad meter, this can be sung to the tune of “Gilligan’s Island.”   You carriers are sometimes great, all flexible and fair; But sometimes you issue denials That make me lose my hair.   Prevailing charge in the area is w
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You Are Not Going to Sue Us, Are You?

By: Jason Davis …is what a nice lady asked me when we were discussing the charges her office submitted for drug addiction treatments. You see, this office billed $3,800.00 per day for inpatient detox, and separately, under a different corporate name (but same billing office), they bil
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Adam’s Key Takeaway from the 2017 MassAHU Benefest Conference

By: Adam Russo, Esq. I spoke at the MassAHU Benefest 2017 event today in Westborough, MA, where I was lucky enough to see 9 of the CEOs for the various insurance carriers in our state.  I was pleasantly surprised to hear what they had to say.  They not only talked about transparency n
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A Call for Defensive Legislation

By: Brady Bizarro, Esq. On April 5th, the House of Representatives passed the Self-Insurance Protection Act (SIPA; H.R. 1304) by a vote of 400 to 16. This was the third iteration of this bill, originally introduced at the suggestion of the Self-Insurance Institute of America (“SIIA”).
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Words with No Meaning…

By: Chris Aguiar, Esq. Google “average words spoken per day” and you might see some interesting entries – such as, men use 7,000 words a day on average, as compared to women’s 20,000.  When deciding what to write about today – it struck me that so much of my day handling issues on beh
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