Protection Money In Healthcare

Paying protection money (PPO access fees) for the promise of no balance billing against egregious, arbitrary sticker pricing that have no relationship to costs whatsoever, and agreeing to provider reimbursement levels based upon secretive contracts you cannot see or audit, violates fiduciary duties and is contrary to traditional American business practices.“

“I am am confident we will  soon see plan participants sue their plan for breach of fiduciary duties. We are seeing this trend among retirement plans – health plans will be next.

                                                                                                                                                         – Molly Mulebriar

You Mean that Stuff Applies to the Health Plan I Sponsor, Too? – Kelsey N. H. Mayo

In the summer of 2016, over 100 of CIGNA’s self-insured health plan clients were sued with the complaint alleging breach of the defendants’ fiduciary duties under ERISA for engaging in widespread fraudulent behavior involving the use of plan funds. This case should serve as a wake-up call for employers sponsoring health plans nationwide – this will not be the last case of its kind to be filed.