Self-funded Health Plans: A New Challenge for Hospitals

MyHealthGuide Source: Emily M. Scott, 6/29/2015, Hirschler Fleischer Attorneys at Law<https://t.e2ma.net/click/hcsgk/l7ixcb/17924f>   Editor’s Note:  A view of self-funding from the perspective of a hospital advocate.   Hospitals should be on the lookout for a ne
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Are Smaller Companies Poised to Self-fund Health Care?

By David McCann The percentage of U.S. workers covered by health plans that are at least partially self-funded by their employers has been rising gradually for many years, reaching 61% in 2014, compared with 44% back in 1999, according to the Kaiser Family Foundation.
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QBE Accident & Health Introduces Group Critical Illness Product for Self-Funded Employers

QBE Accident & Health, 5/26/2015 New York, NY – QBE North America’s Accident and Health division now offers one of the most comprehensive Critical Illness products on the market in a new employer-paid Group Critical Illness enhancement for its medical stop loss product. By p
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The ShiftShapers Podcast David Saltzman Ep #54: How to Have a Self-Funding Conversation with Employers – With Adam Russo In this episode, we explore some of the most common questions advisors ask about self funding and discuss concerns ranging from minimum group size to tools and tech
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View From McDermott: A New Type of ERISA-Based Hold-Up—The Rise of Out-of-Network Provider Suits Against Self-Funded Health Care Plans

By Amy Gordon & Michael Graham Over the past decade, there has been a significant increase in the number of physicians who have dropped out of Preferred Provider Organization (‘‘PPO’’) and Health Maintenance Organization (‘‘HMO’’) networks and attempted to negotiate their own fin
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Incentives for Small Firms to Self Fund Their Healthcare Plans

By: Robert C. Pozen and Anant Vinjamoori When firms offer healthcare plans to their employees, they have two main choices. They can buy insurance from traditional health insurers like Aetna or Blue Cross Blue Shield, or they can self-fund their own healthcare plan. Read more…
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Final Part of Self-Funded White Paper Series Released

American Association of Payers, Administrators & Networks This is the third and final installment of a three-part series examining the self-funded insurance market. Part one took a look at the benefits of self-funding, the significant role the self-funded market plays in the heal
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NAIC White Paper

WHITE PAPER STOP LOSS INSURANCE, SELF FUNDING AND THE ACA I. Introduction Since the passage of the Patient Protection and Affordable Care Act of 20101 (ACA), there has been a lot of speculation about its potential impact. The goal of the law is to make affordable, quality health insur
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AAPAN Releases Part Two of Self-Funded Insurance White Paper

September 5, 2014 Today, we released the second part of a three-part series examining the self-funded insurance market – with a focus on the important role Third Party Administrators provide in administering self-funded plans.
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SB 21 CT Assessment – UPDATE & THANK YOU!

Diversified Group May 22, 2014 Good Afternoon, Now that the legislative session has ended, we are pleased that the additional SIM assessment / tax, which the State of Connecticut was attempting to add onto all fully-insured and self-insured programs, has turned out positively for self
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