Cost containment: The Golden Oldies

By Andrew R. Silverio, Esq. (As published within ECI Users Group Spring Newsletter)  It’s no secret that America devotes more of its gross domestic product to healthcare expenses than any other country.  Runners up, including Canada, the Netherlands, France, Germany, and Switzerland,
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Self-funded Health Plans: A New Challenge for Hospitals

MyHealthGuide Source: Emily M. Scott, 6/29/2015, Hirschler Fleischer Attorneys at Law<https://t.e2ma.net/click/hcsgk/l7ixcb/17924f>   Editor’s Note:  A view of self-funding from the perspective of a hospital advocate.   Hospitals should be on the lookout for a ne
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What’s the Scope of TPA Duties?

Most administrative services agreements state that the third-party administrator is not obligated to disburse more in payment than the plan sponsor shall have made available. Read More..
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Contraceptive Coverage Proposals Would Expand Role of Insurers and TPAs

On March 16, 2012, the Departments of Labor, Health and Human Services and Treasury requested public comments on a proposed accommodation for religious organizations that object to providing contraceptive coverage, as required under health care reform’s preventive services rules
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Numbers: How Many TPAs are There? Explanation and Legal Liability Factors

BEWARE STATISTICAL DISTORTIONS: SPBA is often asked “How many TPAs are there?”. The answer is multi-facetted and (not by design) may sound like double-talk. It is best if you read it once, open-minded, purely for the insight. Then re-read for specific reference to your situation. I ha
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