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Jury deems Centura Health $230K surgical bill ‘unreasonable,’ awards $766

2018-06-29T16:16:53+00:00

This article was published on June 21, 2018 on BenefitsPro, written by Greg Land. Photo Source: BenefitsPro. A woman was sued by a Colorado hospital seeking more than three times what it had already been paid for her surgery. A Colorado jury declared a hospital’s billing unreasonable, turning aside its lawsuit demanding almost $230,000 from [...]

Jury deems Centura Health $230K surgical bill ‘unreasonable,’ awards $7662018-06-29T16:16:53+00:00

How Much Is Fraud & Abuse Costing Your Health Plan?

2018-06-28T08:00:24+00:00

From a drug manufacturer that contributes money to a non-profit Copay Assistance foundation and then steers Medicare patients taking their drugs to that foundation to a diagnostic lab that pays doctors for every blood test they refer, disguising the payments as “processing and handling fees”, there seems to be no end to the costly schemes [...]

How Much Is Fraud & Abuse Costing Your Health Plan?2018-06-28T08:00:24+00:00

Association Health Plans Final Rules Released

2018-06-22T17:07:08+00:00

On June 19, 2018, the U.S. Department of Labor released the final rule on Association Health Plans (AHPs). The rule seeks to expand health coverage among small employer groups and self-employed individuals. It will make it easier for small business to join together to purchase health insurance without the myriad of regulations individual states and [...]

Association Health Plans Final Rules Released2018-06-22T17:07:08+00:00

How America got hooked on a deadly drug

2018-06-20T14:19:21+00:00

This article was published on June 14, 2018 on BenefitsPro, written by Fred Schulte, Kaiser Health News (Maria Fabrizio for KHN) . Photo Source: BenefitsPro. Kaiser Health News is releasing years of Purdue Pharma’s internal budget documents to offer insight into the hundreds of millions of dollars spent to launch and promote OxyContin. Purdue Pharma [...]

How America got hooked on a deadly drug2018-06-20T14:19:21+00:00

Small Groups Move to Self-Funding

2018-06-14T08:00:01+00:00

The Employee Benefit Research Institute (EBRI) reports that while the number of mid-sized businesses self-funding their health benefits actually declined slightly during 2015 and 2016, the percentage of smaller employer groups, those with less than 100 employees, increased from 14.2% to 17.4%.

Small Groups Move to Self-Funding2018-06-14T08:00:01+00:00

It’s PCORI Filing Time Again!

2018-06-12T08:00:24+00:00

IRS ACA Patient Centered Outcomes Research Institute (PCORI) Fees Due July 31st. For 2018, the annual fee to fund the federal Patient-Centered Outcomes Research Institute (PCORI), paid by employers that sponsor self-insured health plans and by commercial group health insurance providers, will go up by about 10 cents per employee or dependent enrolled in the [...]

It’s PCORI Filing Time Again!2018-06-12T08:00:24+00:00

The Phia Group Recognizes Diversified Group with 2018 Empowered Plan Award

2018-06-11T18:07:04+00:00

MyHealthGuide Source: The Phia Group, 6/8/2018, www.PhiaGroup.com Foxboro, MA -- The Phia Group, LLC, at its annual MVP (Most Valuable Partners) event, was pleased to recognize this year’s winner of The Phia Group “Trophy of Empowerment.” It is with appreciation that they now publically announce the name of their 2018 Empowered Plan Award winner, Diversified [...]

The Phia Group Recognizes Diversified Group with 2018 Empowered Plan Award2018-06-11T18:07:04+00:00

Drug Overdose Deaths Rising

2018-06-07T08:00:41+00:00

According to preliminary government data, U.S. deaths involving fentanyl and other synthetic opioids fueled a 21% jump in annual drug overdose deaths during 2017. The increase from 9,945 opioid deaths in 2016 to 20,145 during 2017 reflected the sharpest one-year increase since the U.S. began experiencing a widespread opioid addiction. CDC data shows that deaths [...]

Drug Overdose Deaths Rising2018-06-07T08:00:41+00:00

ACA Affordability Percentage for 2019

2018-05-31T08:00:15+00:00

On May 21, 2018, the Internal Revenue Service (IRS) issued Revenue Procedure 2018-34 which indexes the contribution percentages for 2019 for purposes of determining affordability of an employer’s plan under the Affordable Care Act (ACA).  For plan years beginning in 2019, employer-sponsored coverage will be considered affordable if the employee’s required contribution for self-only coverage does not [...]

ACA Affordability Percentage for 20192018-05-31T08:00:15+00:00

New York, Connecticut among worst in hospital safety, survey finds

2018-05-30T08:00:37+00:00

This article was published on May 23, 2018 on Westfaironline, written by Aleesia Forni. Photo Source: Westfaironline. New York and Connecticut ranked among the worst states in the nation in terms of hospital safety, according to a recent survey. According to the Leapfrog Hospital Survey covering the 50 states plus the District of Columbia, New [...]

New York, Connecticut among worst in hospital safety, survey finds2018-05-30T08:00:37+00:00
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