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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

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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As language shifts to ACA ‘repair,’ Pence reaffirms commitment to ‘repeal and replace’

By Tamara Rosin Although some Republican lawmakers have begun to discuss a more tempered goal of “repairing” the ACA instead of tearing it down, Vice Presiden
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