Cost containment: The Golden Oldies

By Andrew R. Silverio, Esq. (As published within ECI Users Group Spring Newsletter)  It’s no secret that America devotes more of its gross domestic product to healthcare expenses than any other country.  Runners up, including Canada, the Netherlands, France, Germany, and Switzerland,
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Letter from The Phia Group’s editior, Andrew Milesky

The winds of change are coming, and they blow closer than ever. It seems so recent that we were all looking forward to 2014, and feeling confident that we had plenty of time to get things in order and prepare – both financially and in terms of compliance – to address Presi
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Mark PETERS and Patricia Peters, Plaintiffs, v. COMMUNITY CONNECTIONS, INC. EMPLOYEE BENEFIT PLAN; Community Connections, Inc., a Colorado Corporation, Defendants.

United States District Court, D. Colorado. Mark PETERS and Patricia Peters, Plaintiffs, v. COMMUNITY CONNECTIONS, INC. EMPLOYEE BENEFIT PLAN; Community Connections, Inc., a Colorado Corporation, Defendants. Civil Action No: 11–CV–03186–RPM. Aug. 9, 2013. Gregory R. Giometti, Tamara J.
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Administrator Deemed To Be Fiduciary and Breached Fiduciary Duty on Self-Insured Plan

Case: Hi-Lex Controls Incorporated, et al, v. Blue Cross and Blue Shield of Michigan Case No: 11-12557.  Hon. Victoria A. Roberts presiding. This is an action for alleged violations of the Employee Retirement Income Security Act of 1974 (“ERISA”). Plaintiffs filed suit on
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With High Deductible Health Plans, It Pays To Shop Around For Care

When Maria and Vadim Brodsky’s then 7-year-old daughter needed an MRI two years ago to examine a tumor in her head, they took her to a hospital in their health plan’s network and were dismayed to receive a $4,500 bill. The couple had a $6,000 deductible on their family plan. And
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Government Plans are Exempt from ERISA… But What is the Definition of “Government”?

You already know that an employee benefit plan qualified as a “government plan” is exempt from ERISA’s framework. But what is the definition of “government”? Some employers may not actually be government entities, and public private partnership may inject ERISA back into the framework
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Four Myths about Private Health-Care Exchanges

They’re not as cost-predictable as you think, you can’t use them to provide nongroup coverage, and offering dental and other ancillary benefits through them may be risky. David McCann For all the hoopla in the past year about private health-care exchanges for active employees, relativ
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Obama benefits proposal criticized for retirement plan cap

An Obama administration proposal that would ban employees from earning additional benefits once the value of benefits earned in all their retirement plans hit a current cap of $3.4 million would be confusing, difficult to administer, and discourage some employees from making new contr
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Cigna to cover telehealth doctor consults

Cigna will begin offering telehealth consultations to some of its members next  year after reaching a deal with MDLive, a Florida-based telehealth company. Under the agreement, members of Cigna’s self-insured employer groups will have  access to 24/7 consultations, whether throu
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Mayo Clinic’s Upmarket Move

Hospitals Compete for Well-Heeled Patients as Employers Trim Health Spending ROCHESTER, Minn.—The Mayo Clinic has big plans to join other top-flight medical centers in an expensive fight for well-heeled patients, but it faces a problem: Its sleepy hometown needs a face-lift. Mayo, the
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