Federal Judge Denies United Healthcare’s Motion to Dismiss in Case Brought by Texas General Hospital for Unpaid & Underpaid Claims

By Brado Bizarro, Esq – The Phia Group, LLC Background Texas General Hospital is a private, acute care facility located in Grand Prairie, Texas. It is outside of UnitedHealthcare’s (“United”) provider network. In January of 2015, Texas General was the subject of intense scrutiny
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Far more Dallas children have health insurance since Obamacare passed, study says

By Naomi Martin The number of children with health insurance has spiked in Dallas County and in much of Texas since 2009, even as child poverty continues to be a major problem, according to a study released Wednesday. Read more…
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Austin health care innovators to be honored with awards

By Will Anderson Ten Central Texas companies are in the running for an award honoring the businesses trying to creatively solve the most pressing issues in the health care industry. Read more…
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Supreme Court hearing major abortion case

By Jack Craver Activists and politicians on both sides of America’s never-ending debate on abortion are closely watching as the Supreme Court hears arguments Wednesday over a Texas law aimed at making it more difficult to operate an abortion clinic.
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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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Texas Prompt Pay Law Not Preempted; Enforceable Against Self-Insured Health Plan TPAs

EBIA Weekly A federal district court has ruled that ERISA does not preempt the Texas Prompt Payment Act as it applies to TPAs of self-insured benefit plans. The state law generally requires “insurers” to pay benefit claims within 30 or 45 days (depending on the claim’s format), or fac
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Texas regulators threaten telemedicine

By Denis Storey All we read about is PPACA. But rest assured there are other threats to the benefits business. One such threat has emerged in the unlikeliest of places – Texas – where a quiet, but pitched, battle rages on over the future of telemedicine. Read more…
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Boots on the ground brought out last-minute Latino ACA signups

By Rachel Landen A last-minute shift to more community and local outreach along with other grass-roots marketing strategies helped state exchanges and enrollment organizations boost Latino signups just before the March 31 deadline after months of lagging enrollment in Obamacare plans.
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Texas ban on same-sex marriage violates U.S. Constitution: Judge

By Matt Dunning A federal judge in Texas has ruled that the state’s ban on same-sex marriage violates equal protection and due process guarantees of the U.S. Constitution. Read more…
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5 States Potentially Headed for Obamacare Disasters

By Keith Speights Is disaster on the way for your state? When it comes to the Affordable Care Act, commonly known as Obamacare, some states appear to be in much worse shape than others. For certain states, total enrollment has been nothing short of abysmal — particularly when co
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