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

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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I Have a Bridge to Sell You …

By: Chris Aguiar, Esq. Read this article this morning – https://www.nytimes.com/2017/01/29/health/obamacare-affordable-care-act-lifesaver-burden-voices.html?_r=1 Po
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ACA Section 1557 – Federal Court Injunctions, Executive Orders, Repeal/Replace, Oh my!

By: Kelly Dempsey, Esq. A federal court injunction related to 1557 was granted on 12/31/16, temporarily stopping portions of the rule—discrimination on the basis of gende
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Massachusetts Braces for ACA Repeal

By: Brady Bizarro, Esq. This morning, I had the pleasure of attending a conference held by the Massachusetts Association of Health Plans on “Examining the Effect of
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Enough to be Dangerous

By: Ron Peck, Esq. In my time, I’ve encountered opposition that admits to knowing nothing about the topic, and seeks to engage me in common sense discussion; and, opposit
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Change Often Starts with a Conversation

By: Garrick Hunt My wife, quite literally, has no idea what I do for a living. When friends and family ask, she normally replies, “…he does something with sub
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An Unlikely Recovery

By: Michael Branco The Phia Group’s overpayment specialists received two claims – same provider, same patient – totaling over $760,000. The reason for the refund was that
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Phia Group Consulting Is Always Ready to Help

By: Jennifer McCormick, Esq. Phia is continuously searching for ways to evolve and improve the plan drafting process for our clients, including notification of key compli
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Relationships Matter in Resolving Claims Disputes

By: Jason Davis Phia received a $60K claim caused by a serious fall while the member was hiking. The member was taken to the nearest hospital which was out of network, an
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For Some, the Affordable Care Act Is a Lifesaver. For Others, a Burden.

By SONA PATEL and FAHIMA HAQUE After President Trump and the Republican-controlled Congress vowed to repeal and replace the Affordable Care Act, millions of Americans hav
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Diabetes patients sue 3 drug companies over alleged fraudulent insulin pricing

By Kelly Gooch Eleven diabetes patients are suing several drug companies for alleged collusion on insulin pricing, reports The Washington Post. The lawsuit was filed Mond
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Industry Trends & Demands, Alaska to Maine

By: Tim Callender, Esq. It’s about this time each year that travel really starts to kick in to high gear for numerous Phians.  From Adam, to Ron, to Mike, to Garrick, to
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Billing Itemization

By: Jon Jablon, Esq. Question: is a medical provider required to give an itemization as part of the billing? Answer: Generally no. Texas and Florida have passed legislati
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