The ShiftShapers Podcast David Saltzman Ep #54: How to Have a Self-Funding Conversation with Employers – With Adam Russo In this episode, we explore some of the most common questions advisors ask about self funding and discuss concerns ranging from minimum group size to tools and tech
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View From McDermott: A New Type of ERISA-Based Hold-Up—The Rise of Out-of-Network Provider Suits Against Self-Funded Health Care Plans

By Amy Gordon & Michael Graham Over the past decade, there has been a significant increase in the number of physicians who have dropped out of Preferred Provider Organization (‘‘PPO’’) and Health Maintenance Organization (‘‘HMO’’) networks and attempted to negotiate their own fin
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Incentives for Small Firms to Self Fund Their Healthcare Plans

By: Robert C. Pozen and Anant Vinjamoori When firms offer healthcare plans to their employees, they have two main choices. They can buy insurance from traditional health insurers like Aetna or Blue Cross Blue Shield, or they can self-fund their own healthcare plan. Read more…
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Final Part of Self-Funded White Paper Series Released

American Association of Payers, Administrators & Networks This is the third and final installment of a three-part series examining the self-funded insurance market. Part one took a look at the benefits of self-funding, the significant role the self-funded market plays in the heal
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NAIC White Paper

WHITE PAPER STOP LOSS INSURANCE, SELF FUNDING AND THE ACA I. Introduction Since the passage of the Patient Protection and Affordable Care Act of 20101 (ACA), there has been a lot of speculation about its potential impact. The goal of the law is to make affordable, quality health insur
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AAPAN Releases Part Two of Self-Funded Insurance White Paper

September 5, 2014 Today, we released the second part of a three-part series examining the self-funded insurance market – with a focus on the important role Third Party Administrators provide in administering self-funded plans.
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Obama administration floats new prescription contraceptive rules

By Jerry Geisel The Obama administration sought Friday to end a long-running controversy by proposing new ways to enable employees of nonprofit religiously affiliated organizations — such as hospitals — and private closely held corporations to obtain coverage for prescription contrace
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MyHealthGuide Newsletter

News for the Self-Funded Community 5/19/2014 Published weekly by MyHealthGuide, LLC (www.MyHealthGuide.com). This Newsletter is for personal, non-commercial use only. This weekly newsletter is FREE OF CHARGE to subscribers. Subscribe free. Send news, press releases and announcements t
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MyHealthGuide Newsletter

News for the Self-Funded Community 5/12/2014 Published weekly by MyHealthGuide, LLC (www.MyHealthGuide.com). This Newsletter is for personal, non-commercial use only. This weekly newsletter is FREE OF CHARGE to subscribers. Subscribe free. Send news, press releases and announcements t
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Small employers not seizing self-funding tactic for ACA, yet

By Richard F. Stolz A couple of years ago, as many smaller employers were first beginning to think long and hard about how they would fare under the Affordable Care Act, benefit advisers and industry experts talked a great deal about the pros and cons of self-insuring their health ben
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