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

4 main tenets of the GOP’s ACA replacement plan

By Emily Rappleye House Republicans gathered Thursday to discuss a policy memo detailing their ACA replacement plan, according to The Washington Post. While the meeting p
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15 things to know about Stark Law

By Ayla Ellison Enacted more than two decades ago with the simple purpose of curbing physician self-referral, Stark Law has evolved into a complex set of regulations, whi
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Healthcare Need Not Be a Headache

By: Christopher Aguiar, Esq. My PCP is a great doctor, but I hate visiting him. I only live 2 minutes from his office, but somehow, my quick visits usually turn into long
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S B C, It’s as Easy as 1, 2, 3… Don’t Forget the NEW Template

By: Kelly Dempsey, Esq. The new Summary of Benefits and Coverage (SBC) template is applicable for plans that have open enrollment periods beginning on or after April 1, 2
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House G.O.P. Leaders Outline Plan to Replace Obama Health Care Act

By ROBERT PEAR and THOMAS KAPLAN WASHINGTON — House Republican leaders on Thursday presented their rank-and-file members with the outlines of their plan to replace the Af
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In the Spotlight… Or the Crosshairs?

By: Ron Peck, Esq. Yesterday we presented a webinar regarding issues that pop up when employers don’t act with consistency between their plan, handbook, behavior, and law
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How expensive are knee replacements in the 20 largest US cities?

By Laura Dyrda Total knee replacement surgery price varies by geographic region. The total price includes hospital services, physician services and anesthesia, according
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CMS projects next decade of health expenditures: 5 takeaways

By Ayla Ellison National health spending is expected to grow at an average annual rate of 5.6 percent from 2016 through 2025, with expenditures projected to hit $5.5 tril
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First Proposed ACA Rule Changes

By: Jen McCormick, Esq. Today we got our first new proposed ACA rule changes from the Trump Administration.  One of the proposals was to decrease the open enrollment wind
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IRS loosening enforcement of ObamaCare mandate

By Peter Sullivan The IRS says it will not reject tax forms from people who fail to answer whether they had health insurance, a sign of loosening up on enforcement of Oba
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A Canadian Pays Cash for Care – Part Deux

By: Jason Davis In spite of the fact that I did not use insurance at all, we can still take my personal experience as a case study about the benefits of real-time payment
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Humana Plans to Pull Out of Obamacare’s Insurance Exchanges

By REED ABELSON Humana announced on Tuesday that it would no longer offer health insurance coverage in the state marketplaces created under the federal health care law, b
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Land of 10,000 Stories: Cop and Homeless Veteran

wkyc.com CLEVELAND – Big medical bills are a problem for many Americans. But few services deliver a bigger surprise hit than a life-saving ride on an air ambulance.
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The Guilty Shall Remain Nameless – Yet I Shall Shame Them

By: Tim Callender, Esq. I recently had a sinus infection.  No, I’m not a doctor, but I’m intelligent enough, and know my sinuses well enough to know when it’s either a si
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Empower Your Plans!

By: Adam Russo, Esq. The United Benefit Advisors recently came out with the average cost of premiums for health insurance in every state.  Massachusetts has an average mo
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