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Recent Posts

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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The Time of Uncertainty

By: Brady Bizarro, Esq. At a recent Republican retreat, someone secretly recorded discussions regarding the repeal of the Affordable Care Act. While many have condemned t
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Ignorance Is Not A Defense

By: Chris Aguiar, Esq. I wish I could say I was surprised to read the findings of this article – but I’m not.  True or not, the prospect is frightening.  Healthcare is a
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Most Consumers Do Not Know the Cost of Care

By: Adam Russo, Esq. Super Bowl Sunday is a great time to talk to family and friends…well at least during that first half! It’s amazing how little people unde
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We Have a New Secretary of HHS

By: Brady Bizarro, Esq. In a rare overnight session, the Senate voted 52-47 (along party lines) to confirm Tom Price (R-GA) as Secretary of HHS. He will be managing a dep
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It’s Tax Time – Do You Know Your 6056 Deadlines?

By: Kelly Dempsey, Esq. The tax season is officially upon us. Reporting requirements under ACA Section 6055 and 6056 are still in effect for the 2016 calendar year. For A
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From the Waiting Room

By: Ron Peck. Esq. I recently found myself in a doctor’s waiting room.  I overheard another patient arguing with the office administrator.  The gist of it was that he was
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No News Is Good News

By: Garrick Hunt While Super bowl LI was exciting, the commercials were far more revealing. The political motivations for most of the commercials were clear, be it Coke’s
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Overpayment Success Story: Dialysis Claim

By: Michael Branco A dialysis claim was adjudicated at the regular out-of-network rate instead of the dialysis carve-out rate of 130% of Medicare. After unsuccessful atte
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Beware the Network!

By: Jennifer McCormick, Esq. Self-funded employers should be careful when selecting networks. In some cases,  low discounts, anti-audit clauses, unseen provider agreement
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The Details Matter

By: Brady Bizarro, Esq. Employers face many, many regulatory burdens. There is an ever-increasing number of federal regulations to abide by (although that might change),
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A Canadian Pays Cash for Care – Part One

By: Jason Davis I have personally experimented with paying cash for healthcare. I had sustained a rather nasty cyst/lesion on my chin (basketball accident – I named it Je
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Mental Health Parity and Claim Negotiation

By: Jon Jablon, Esq. When choosing claims to have negotiated, don’t worry about mental health parity. While it’s an important set of laws, it primarily protec
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Call Me Corny…

By: Ron Peck, Esq. So; call me corny, but as I watched my favorite football team miraculously pull forth victory from the jaws of despair, I was inspired.  No – I wasn’t
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10 things to know about athenahealth

By Jessica Kim Cohen Here are 10 things to know about Watertown, Mass.-based athenahealth, one of the largest publicly traded companies in the world providing medical rec
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