Homepage

Welcome to Passion for Subro & Self Funding!

The purpose of this site is to share my passion for subrogation and the self insurance industry with all of you.  My goal is that this site will become your number one destination for health insurance information.
Whether you are looking for the latest on health care reform, the most recent subrogation and reimbursement case, or want to be a self funding guru this is the place for you.  While I hope that this site serves as a great educational resource for all of you, I also hope to keep you entertained with the funny, confusing and just plain weird world of subrogation and self funding.
I would love your feedback and any newsworthy items you may have to make this site even better.

 

Recent Posts

My Trip to the Emergency Room

By: Jen McCormick, Esq. Since becoming a mom, I’ve experienced two pretty scary parenting adventures – taking a toddler to Disney World solo and taking a toddler to the e
Continue Reading →

I Fought The Law and…Unpredictable Results Ensued

By: Jon Jablon, Esq. Are you a landlord? If so, you might know that the law is not on your side. Or, are you a criminal? The law isn’t on your side either, but that one m
Continue Reading →

Repeal and Replace Faces a False Start

By: Brady Bizarro, Esq. After the surprising collapse of the American Health Care Act (“AHCA”), House Speaker Paul Ryan (R-Wis.) remarked, “We’re going to be living with
Continue Reading →

Sometimes… The Truth Hurts…

By: Tim Callender, Esq. The following is completely fictional.  Well, not really, but it makes me feel better to pretend that it’s not true.  As always, with my posts, th
Continue Reading →

Trump’s Healthcare Bill Failed… Here’s Why

By: Adam Russo, Esq. The fact that Trump’s healthcare bill failed is big news and now everyone in Washington and in the media is trying to place blame on someone, w
Continue Reading →

U.S. Airways v. McCutchen – Where Are they Now?

By: Chris Aguiar, Esq. The health benefits industry can feel like a whirlwind, especially for self-funded plans.  We always seem to be running around trying to figure out
Continue Reading →

Bidding Against Themselves: $750K Air Ambulance Claim Adventure

By: Jason Davis I have a weird claim on my desk right now involving an Air Ambulance (AA) carrier that is billing a client $750K for a flight from the east coast to the w
Continue Reading →

Keep Hands, Arms, Legs, and Feet Inside the Ride at All Times and Remain Seated Until the Ride Comes to a Complete Stop

By: Kelly Dempsey, Esq. The last 7 years have been a wild ride and it’s not quite over yet.  As noted in many other posts and articles, the rules will be changing under t
Continue Reading →

Health Insurance is NOT Health Care

By: Ron E Peck, Esq. The Congressional Budget Office (CBO) has provided its assessment of the American Health Care Act, and already Congressional would-be supporters of t
Continue Reading →

If I Can Change, So Can The Average American

By: Garrick Hunt I recently celebrated my two year anniversary at The Phia Group; an organization that two years ago I didn’t know existed. In my time here, I have learne
Continue Reading →

ACA to AHCA… A Look Back on the Past 7 Years

By: Jen McCormick, Esq. Last Monday, the House Republicans finally had their chance to offer their version of a health care bill.  The American Health Care Act, or AHCA,
Continue Reading →

The Cost-Containment Carve-Out Compliance Conundrum

By: Jon Jablon, Esq. There is an interesting phenomenon happening in the self-funded industry today. Because medical costs are so exorbitant and arbitrary, many health pl
Continue Reading →

Employer-sponsored Plans Should Prepare to be Taxed

By: Brady Bizarro, Esq. The latest news in the repeal and replace saga is that congressional Republicans are pushing to get a bill to the Senate by the end of this month.
Continue Reading →

It will be my pleasure to balance bill the patient $1.3 Million…

By: Jason Davis …Is what a Hospital VP of Accounts Receivable said to me when I called to discuss a reference-based pricing (RBP) claim that was referred to The Phia Grou
Continue Reading →

The Guilty Shall Remain Nameless – Yet I shall Shame Them… Again

By Tim Callender, Esq. In this second installment of “The Guilty Shall Remain Nameless” I can’t help but think back to an encounter I had with a walk-in clinic in Las Veg
Continue Reading →