Why Hospitals Are Afraid Of Suing Cost Plus Health Plans/Administrators

“The Dallas team forced the dismissal by aggressively pursuing discovery deep into the recesses of the Plaintiffs’ billing practices. In the end, the Plaintiffs decided they preferred to dismiss the case rather than testify about the inner workings and methodology of their billing system and practices.”

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Risk Managers Experience, Education Highlighted In New Study

The National Alliance for Insurance Education & Research has released the first edition of “Risk Manager Profile: Knowledge and Responsibilities for a Growing Profession,” a study offering a look into the career paths and responsibilities of working risk managers.The study draws from a survey of nearly 500 risk managers as well as 10 in-depth interviews, the organization said Wednesday in a statement.The research is intended to help professionals compare their responsibilities and compensation with those of others with similar experience and education; longer interviews offer a look at how others began and made their way through the industry, the group said in the statement. The survey showed a wide variety of experiences, but Jim Cuprisin, research director for the National Alliance Research Academy, noted a few key findings: About 37% of risk managers have an advanced degree, which is above the norm, and about 88% of those surveyed were over 40 years old. “It takes awhile for people to move into the risk management field,” said Mr. Cuprisin, adding that many cross over from the insurance, financial and other industries.The study is available at www.TheNationalAlliance.com. The digital edition costs $45, and the print edition costs $55 plus shipping.

Mercer To Launch Medical Exchange For Medicare Eligible Retirees

Mercer L.L.C. said it is launching a new health insurance exchange in which retired employees eligible for Medicare can choose from an array of different health care plans.While the prevalence of employers offering coverage to Medicare-eligible retirees continues to decline, about one-third still do, according to Mercer.Through an exchange, employers no longer directly offer coverage, relieving them of a significant administrative burden while giving retirees more benefit choices, Mercer notes. In addition, the exchange, which Mercer is offering along with Connextions, Inc., a technology solutions company, will provide assistance to retirees during enrollment periods and throughout the year.