January 31, 2015 – Risk Managers

Aetna, Baptist Health System, HealthTexas Medical Group Form ACO

Competition among hospitals is increasing.

“In San Antonio, both the Baptist Health System and Christus Santa Rosa are rapidly buying physicians’ practices, says John Wisniewski, executive director of the Bexar County Medical Society. Mr. Spangler says hospitals are moving aggressively because they believe physician-led ACOs threaten their bottom line.” – Source: Texas Medicine

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Former School Board Insurance Consultant Faces Ethics Charge in Louisiana

Rina Tikia

The Louisiana Board of Ethics has charged the Lafayette school board’s former insurance consultant with violating ethics laws by offering a school board member tickets to a New Orleans Saints game while “seeking a contractual and business relationship” with the school board.

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Reference Based Pricing To Become The Norm For Self-funded Plans

As self-insured employer groups wrestle with the requirements of the Affordable Care Act (ACA), some are tapping the potential of reference based pricing (RBP) to control costs.

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