Third Party Administrators
States should start tracking self-funding and stop-loss trends, as some self-funding employers may be exposing themselves to high financial and legal risk, a new report from the Georgetown University Health Policy Institute and the Urban Institute suggests.
The insurance and technology firm SeeChange Health landed $15 million in capital funding from two investment firms, the Psilos Group and Maverick Capital, who say they sense a shift in the employer-provided insurance market towards more focus on wellbeing and early intervention.
A federal judge in Atlanta has temporarily blocked Georgia's new prompt payment law for self-funded plans' third party administrators, siding with America's Health Insurance Plans (AHIP) in citing the preemption of federal law.
The American Medical Association and the Medical Association of Georgia have joined the state Insurance Commissioner in defending new prompt payment rules for self-funded employer health plans and their third party administrators, amid efforts by America's Health Insurance Plans to prevent the rules from taking effect.
Janzen, Johnston & Rockwell Emergency Medicine Management Services Inc. (JJ&R), a provider of billing services for physicians, hospitals and other healthcare providers, has agreed to pay the United States $4.6 million to settle allegations it submitted false claims to Medicare and Louisiana’s Medicaid program.
WEBINARS AND WHITE PAPERS
-
WHITE PAPERS
homapage_recent_headlines
Healthcare Payer News is a publication of MedTech Media.
For more information about MedTech Media and its publications, please visit medtechmedia.com.
For more information about MedTech Media and its publications, please visit medtechmedia.com.
©2013 MedTech Media