Articles
The Self-Insurers’ Publishing Corp. (SIPC) is a diversified media company offering various educational tools for alternative risk transfer professionals. Our articles, written by seasoned industry experts, are guaranteed to assist today’s ART specialist.
October 2018
- SIIA Endeavors: On The Record With SIIA President & CEO Mike Ferguson
authored by Dave Kirby - Mind Over Matter: Depressed Employees At Higher Risk For Workplace Injuries And Longer Recovery Times When Out On Workers' Comp, But Solutions Are At Hand To Buck This Troubling Trend
authored by Bruce Shutan - INSIDE the Beltway: "Most Active" Federal Policy Environment Motivates SIIA Members Engagement
authored by Dave Kirby - OUTSIDE the Beltway: SIIA Members are vigilant Advocates in State Challenges to Self-Insurance
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other Federal Health Benefit Mandates
- Rated Captives Segment Thriving According to A.M. Best
authored by Karrie Hyatt - Embracing Prudence History of Collectively Bargained Plans Steeped in Stewardship
authored by Bruce Shutan - Explanations That Benefit
authored by Jon Jablon, Esq. - News From SIIA Members
September 2018
- The 411 on ASOs Proponents of BUCA-backed arrangements say they offer bundled firepower, broad choice and consumer comfort, while critics warn against faux discounts, conflicts of interest and inflexibility in the age of customization
authored by Bruce Shutan - Catching Up With U.S. CAPTIVE DOMICILES
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Three Ways Self-Insured Plans Can Leverage State Laws to Protect their Members from Balance Billing
authored by Matthew Albright - Erisa Remedies in the Post-Montanile Era
authored by Grace Bowling - Current Litigation Highlights Ongoing Need for Review of Plans for Mental Health Parity Compliance
authored by Corrie Cripps - SIIA Endeavors
- Member News
August 2018
- ONSITE Synergy What happens when corporate medical clinics are offered alongside exercise facilities? Clinical pathways intersect with fitness trails-widening the road to prevention, treatment and employee wellness
authored by Bruce Shutan - Catching the Insurtech Wave
authored by Karrie Hyatt - INSIDE the Beltway: AHP Interest Heats Up After DOL Rule Finalization
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Much Needed Correction in the Second Circuit...Is Relief (Equitable, That Is) Around the Corner?
authored by Christopher Aquiar - SIIA Endeavors
- Member News
July 2018
- PAIN-FREE PATHWAYS How treating chronic pain without opioids or surgery in most cases improves clinical outcomes and lowers costly medical and work comp claims
authored by Bruce Shutan - Another Success in Court for RRGs
authored by Karrie Hyatt - INSIDE the Beltway: SIIA's "Fly-In" Participants Find Positive Attitudes among Congress
authored by Dave Kirby - When Benefits and Exclusions Create a Crossroads between Plan and Employer Requirements
authored by Erin M. Hussey, Esq. - Sensitive Health Data Rising Stakes and Sound Security Practices
authored by Mark Hartnett - SIIA Endeavors: London Calling for SIIA Members
- Members News
June 2018
- Revisiting MEWAs Years after insolvency, unpaid claims and fraudulent schemes soiled multiple employer welfare arrangements, regulatory improvements have made them viable again for smaller markets
authored by Bruce Shutan - One Captive, Two Captive, Three- The Benefits of Multiple Captives
authored by Karrie Hyatt - OUTSIDE the Beltway: SIIA Members Rally to Support Stop-Loss in New York
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA0, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- RRGs Report Nearly $287 Million Profit in 2017, Remain Financially Stable
authored by Douglas A. Powell - Conflicting Policies and Courts: When Plan Language Creates More Litigation than Coverage
authored by Catherine Downie - SIIA Endeavors
- SIIA's International Conference in Monterrey, Mexico
- SIIA's Self-Insured Workers' Compensation Executive Forum, Charleston, South Carolina
- Member News
May 2018
- Precision Medicine: The Power of Personalization How emerging practices will help prevent disease, optimize treatment, improve clinical outcomes and reduce costs across group health, Rx benefits, behavioral health and work comp
authored by Bruce Shutan - Filling In the Talent Gap
authored by Karrie Hyatt - INSIDE the Beltway: SIIA Captive Member Advocacy Results in Congress Passing PATH Act Clarifications
authored by Dave Kirby - Self-Insured Group Finds Success in Holistic Approach to Risk Management
authored by Frank X. Altiere III, CPCU, ARM, AU, AIS, RF, IIA - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Cause and Effect? Rising out-of-pocket costs for health care services seen as culprit for misrepresentation of non-work injuries or conditions that drive fraudulent work comp claims
authored by Bruce Shutan - The Practical Impact of Ariana M. v. Humana Health Plan of Tex., Inc. on ERISA Denials of Benefits
authored by Patrick Ouellette, Esq. - SIIA Endeavors
- Members News
April 2018
- Bracing for a Seismic Shift: Disruptive innovation may be coming to a TPA near you as the industry evolves from claims adjudication to more of a strategic role in self-insurance
authored by Bruce Shutan - Affecting the Future of Captives Minor changes in 2017 could have lasting affect on the captive industry
authored by Karrie Hyatt - Self-Insurance Industry Executives Share Candid Opinions at SIIA Town Hall Event
- SIIA Self-Insured Health Plan Executive Forum Attendees Hit the Links (SIEF Golf Tournament Results)
- INSIDE the Beltway: Appeal to DOL on AHP Regulations Continues SIIA's Two-Decade Effort
authored by Dave Kirby - RRGs Report Net Income in Third Quarter 2017
authored by Douglas A. Powell - Drowning in A Sea of Paper
authored by Tim Callendar, Esq. - SIIA Endeavors
- Members News
March 2018
- Stop-Loss Pitfalls Mindful of lasering and renewal obstacles for self-funded employers with large ongoing claims, innovative solutions are paving the way to peace of mind
authored by Bruce Shutan - Taking Control of Claims Management WITH YOUR CAPTIVE
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- True Transparency? Fiduciary PBMs emerge as response to consolidation of Rx dispensing, concern over conflicts of interest and need for deeper clinical expertise
authored by Bruce Shutan - Trump Tax Bill Signals the Swan Song for Obamacare's Individual Mandate
authored by Sean Donnelly - SIIA Endeavors
- Members News
February 2018
- South of the BORDER Latin America remains fertile ground for partnerships to elevate the standing of self-insurance and group captive solutions
authored by Bruce Shutan - Federal Expansion of Association Health Plan: The Time is NOW?
authored by Ryan Work - INSIDE the Beltway SIIA Supports Waiver of ACA Employer Mandate Penalties
authored by Dave Kirby - OUTSIDE the Beltway SIIA Delegation Finds Maine Review of Stop-Loss Taking a Positive Direction
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Offshore Domiciles Still a Draw for Captives
authored by Karrie Hyatt - Controlling Hospital Charges for Self-Funded Plans
authored by Phillip C. Giles, CEBS - SIIA Endeavors
- Members News
January 2018
- OFF THE RADAR Private exchanges, once touted as the future of benefits delivery, are said to be quietly growing and evolving amid skepticism about their value proposition and high fees
authored by Bruce Shutan - Self-Insurance at Its Best: RRGs Insuring RPGs
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- ACA Enforcement Update: IRS Employer Mandate Enforcement and Cadillac Tax Implementation
- Buyer Beware - No Good Deed Goes Unpunished
authored by Ron E. Peck, Esq. - Association Active Across Multiple States Protecting the Self-Insurance Marketplace
- SIIA Endeavors
- Members News
December 2017
- Beyond Opioids EAPs, clinical resources and benefit plan design, along with the right corporate culture, can help self-insured employers manage a host of addictions across group medical and work comp
authored by Bruce Shutan - Captives Primed to Take on Reputation Risk
authored by Karrie Hyatt - Outside the Beltway SIIA Leads Educational Effort in Maine Stop-Loss Review
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Opioids and Your Injured Worker An expert explains the real impact of opioid therapy on your workers' compensation cost
authored by Edward J. Bernacki, M.D., M.P.H. - Managing Plan Communication During a Time of Legislative Uncertainty
authored by Corrie Cripps - SIIA Endeavors
- News from SIIA Members
November 2017
- SIIA Endeavors National Conference Wrap Up Attendees urged to embrace change, prepare for business disruptions
authored by Bruce Shutan - SIIA National Conference Attendees Support Self-Insurance Educational Foundation
- A Silver Lining in the Tax Court Decision Against 831(b) Captive
authored by Karrie Hyatt - Inside and Outside the Beltway Oklahoma tax reinsurance program proposal withdrawn; SIIA orchestrated action to prevent stop-loss assessments
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Interim Final Rules Update
authored by Krista Maschinot - News from SIIA Members
October 2017
- SIIA Endeavors On the Record With SIIA President & CEO Mike Ferguson
authored by Dave Kirby - Leading the Political Advocacy Charge for Captives SIIA Active in Protecting & Promoting this Important Segment of the Self-insurance Marketplace
authored by Ryan Work - Introducing SIIA Members to Monterrery, Mexico Vibrant and Welcoming City to Host SIIA's 2018 Latin America International Conference
authored by Michael W. Ferguson - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Staying the Course How to sustain success in workplace wellness can be much more than behavior modification and a driving force across self-funded employee populations
authored by Bruce Shutan - Catching Up with Risk Purchasing Groups
authored by Karrie Hyatt - Easy to Swallow Work comp formularies help states rein in claims, improve efficacy and speed return to work
authored by Bruce Shutan - The Future of Self-Funding - An Insider's Take
authored by Adam V. Russo, Esq. - News from SIIA Members
September 2017
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Regulating Insurers' CYBERSECURITY
authored by Karrie Hyatt -
Outside the Beltway SIIA delegation ready to appear on Proposed Nevada stop-loss regulations
authored by Dave Kirby -
Paying Attention to Cancer Pays Off for Your Employees
authored by Lillie D. Shockney -
Aid-in-dying laws and the Implications for Self-Funded Plans
authored by Maribel E. McLaughlin, Esq.
August 2017
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Captives Offering Insurance Solutions for the Sharing Economy
authored by Karrie Hyatt -
State-mandated Continuation of Coverage and ERISA Preemption: What Self-funded Employers Need to Know
authored by Brady Bizarro, Esq.
July 2017
- Helping Hands Patient advocacy programs seen as engine that powers not only health engagement, but also reference-based pricing model
authored by Bruce Shutan - Cyber Threats in the Insurance Market and Captives
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Taking Health Care International - The Growing Trends of Importing Care and Exporting Patients
authored by Andrew Silverio - Despite Mixed Reported Results, RRGs Remain Financially Stable
authored by Douglas A. Powell - SIIA Endeavors
- News from SIIA Members
June 2017
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Captives Meeting a Need in Terrorism Risk
authored by Karrie Hyatt -
Air Ambulances: Head in the Clouds
Jon A. Jablon, Esq.
May 2017
- The Enemy Within
authored by Bruce Shutan - Inside the Beltway House Overwhelmingly Passes SIIA-Backed Self-Insurance Bill Seeking Similar Senate Result
authored by Dave Kirby - Outside the Beltway New Minnesota Stop-Loss Law Expands Self-Insurance Options
authored by Dave Kirby - IRS Continues to Investigate Captives Choosing the 831(b) Tax Option
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Don't Let Your LOAs Leave You DOA
authored by Kelly E. Dempsey - SIIA Endeavors
- News from SIIA Members
April 2017
- State of Emergency
authored by Bruce Shutan - Life Insurance Captive Reinsurers Are Stepping Out Of The Shadow
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefits Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Opioid Epidemic, Substance Use, Predatory Treatment Facilities, & Complex Case Management Considerations
authored by Richard T. Lindsey Ph.D, Robert A Mines Ph.D, and Dani Kimlinger Ph.D - A Year Later... Montanile Remembered, Lessons Learned
authored by Christopher M. Aguiar Esq. - Alternative Places of Service: An Era of Rapid Growth
authored by Robin Gelburd - SIIA Endeavors
- News from SIIA Members
March 2017
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Ups and Downs for the Captive Sector in 2016
authored by Karrie Hyatt -
The Next Evolution of Referenced Based Reimbursement (RBR) Programs
authored by Corte B. Iarossi -
Held Captive by Appeals
authored by TIm Callender, Esq.
February 2017
- Fertile Ground
authored by Bruce Shutan - Appealing to Reason
authored by Jon A. Jablon, Esq. - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- Captive Insurers and ORSA
authored by Karrie Hyatt - SIIA Endeavors
- News from SIIA Members
January 2017
- Telemedicine's Tipping Point
authored by Bruce Shutan - Directors and Officers Liability Coverage is More Important Than Ever Before
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Benefit Mandates
The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates - Whom Do You Trust with Your Customers' Medical Information? Make Sure Your Vendors and Providers Are Secure
authored by Andrew Weaderhorn - Self-Funded Health Plan May Have a New Ally in the Fight against Specialty Drug Prices
authored by Brady Bizarro, Esq. - SIIA Sets Course for Next Round of Health Care Reform
- Foundation Plays Key Role in Supporting the Self-Insurance Industry
- SIIA Endeavors
authored by Bruce Shutan - Members News
December 2016
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ICCIE Takes the Lead in Captive Education
authored by Karrie Hyatt -
OUTside the Beltway SIIA Launches "2nd Half" Campaign To Support NY Groups of 51-100
authored by Dave Kirby -
Section 1557: Removing the Gender Divide in Employer Medical Plans
authored by Jennifer M. McCormick -
SIIA Endeavors Association Continues to Improve its Political Positioning During Times of Change
authored by Bruce Shutan
November 2016
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What You Don't Know Can Hurt You: Be Prepared For the Unintended Consequences of Effective Cost Containment
authored by Christopher M. Aquiar, Esq. -
Premium Finance: The Solution You Didn't Know You Were Looking For
authored by Karrie Hyatt - OUTside the Beltway SIIA Members Support Stop-Loss In Washington State Meeting
authored by Dave Kirby - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor - SIIA Endeavors: SIIA's 36th National Educational Conference Wrap Up
authored by Bruce Shutan - News from SIIA Members
October 2016
- Think Outside of the Wrap
authored by Adam V. Russo - Rx Adherence: Where Rubber Meets Road Integrated claims management strategy seen as way to rein in runaway drug costs
authored by Bruce Shutan - Risk Retention Group Legislation Marks 30th Anniversary
authored by Karrie Hyatt - ACA, HIPAA and Federal Health Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- SIIA Endeavors On the Record with SIIA President & CEO Mike Ferguson
authored by David Kirby - Controlling Health Benefit Costs with Fully-Insured Organ Transplant Solutions
authored by Russ Jehs - News from SIIA Members
September 2016
- IAIS Issues Timely Paper on Captive Regulation
authored by Karrie Hyatt - Recent Challenges to the Uniform Enforcement of Subrogation and Reimbursement Provisions Under ERISA
authored by Catherine Dowie - ACA, HIPAA and Federal Health Benefit Mandates The Affordable Care Act (ACA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other federal health benefit mandates
- The Intersection of Wellness and Workers' Compensation
authored by Mark Pew - SIIA Endeavors National Conference & Expo is scheduled for September 25th - 27th at the JW Marriott Austin in Austin, TX
- News from SIIA Members
- SIIA Chooses Puerto Rico for 2017 International Conference
August 2016
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Sound Minds & Bodies Holistic Medicine Emerging as Tool to Manage Costs and Outcomes
authored by Bruce Shutan -
Despite Underwriting Losses, RRGs Remain Financially Stable
authored by Douglas A. Powell -
Common Investment Mistakes Made by Captive Owners
authored by Karrie Hyatt -
Appeal Games Providers Play: Stick to the Rules for the Win
authored by John R. Christiansen -
What do Population Health Management, Capties and Reinsurance Have in Common?
authored by Mark Troutman -
News from SIIA Members
authored by Wrenne Bartlett
July 2016
- An Emerging War on Drug Cost Rx Program Efficiencies May Lie Beyond U.S. Borders
authored by Bruce Shutan - A Dose of Reality
authored by Ron E. Peck, Esq. - INside the Beltway SIIA Members Working to Clarify New Law Governing Small Captives
authored by Dave Kirby - OUTside the Beltway Government Relations Committee Prepares Rebuttal to Washington State Stop-Loss Rules
authored by Dave Kirby - Self-Insurance Innovation Self-Insured Health Plans Leading the Way on Innovation
authored by Wrenne Bartlett - So, You Want to Start A Captive?
authored by Karrie Hyatt - PPACA, HIPAA and Federal Health Benefit Mandates So-Called Tax Free "Wellness Plan" Reimbursement-Not So Good for Employers' or Employee' Financial Health
authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor - SIIA Endeavors The Self-Insurance Industry's Experience of the Year... SIIA's 36th Annual National Conference & Expo in Austin, Texas
June 2016
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Does Wellness REALLY Measure Up? Some Say ROI is Unattainable, While Others Focus on Outcomes
authored by Bruce Shutan -
Group Captives Mitigating Costs of MPL Insurance
authored by Kerri Hyatt -
OUTside the Beltway Self-Insurance Industry Provided Stop-Loss Forum in New Mexico
authored by Dave Kirby -
United Cuts Ties with the Exchanges-But Who is to Blame?
authored by Andrew Silverio, Esq. -
Medical Stop-Loss Captives Issues & Answers
authored by Phillip C. Giles and Steven A. McFarland -
How a Consumer-Focused, Engaged Telehealth Strategy Can Boost Utilization and Lower Costs
authored by Jim Prendergast and Reed Smith -
Self-Funded Dental: A Win for Everyone
authored by Alan Bayse
May 2016
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Work Comp's Bitter Pill Ending Opioid Abuse Critical to Speeding Return to Work
authored by Bruce Shutan -
From the Bench Louisiana Federal Court Rejects Defendant's ERISA Preemption Claims in Suit Against Stop-Loss Carrier
authored by Thomas A. Croft, Esq. -
OUTside the Beltway Seemingly Every Day We Wake Up to New Challenges from the States
authored by Dave Kirby -
How Powerful is the Plan Document REALLY?
authored by Jon Jablon, Esq. and Tim Callender, Esq. -
Onsite Case Management an Effective Way to Control Shock Claim Costs
authored by Dwight Mankin and Joseph Sweeney -
Despite Mixed Reported Results, RRGs Remain Financially Stable
authored by Douglas A. Powell -
IRS 831(b) Still Critical of Captives but NEW Legislation May Change That
authored by Karrie Hyatt -
PPACA, HIPAA and Federal Health Benefit Mandates So You Heard About HIPAA Phase 2 Audits. What Shoudl You Do Now?
authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor
April 2016
- On the Bleeding Edge Regenerative Medicine Sparking Interest, Controversy
authored by Bruce Shutan - Captive Industry Sees Solid Growth in 2015 and Looks for More in 2016
authored by Karrie Hyatt - OUTside the Beltway Texas Responds Favorably to Self-Insurance Industry Coalition
authord by Dave Kirby - Combating Opioid Abuse in Workers' Compensation Plans with Advances in Bio Analytics
authored by Jessica Marabella - Lessening the Pain of High Cost Specialty Drugs
authored by Bruce Roffe - PPACA, HIPAA and Federal Health Benefit Mandates IRS Notice 2015-87 Provides Much Needed Guidance for Account-Based Plans and ACA Employer Shared Responsibility Requirement (IRC 4980H) Part II
authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor - No Standard Standard of Review
authored by Jon Jablon - SIIA Endeavors Annual Self-Insured Workers' Comp Conference Offers Strategic, Educational Programs and Sessions
March 2016
- Engineering A Healthier Workplace Onsite clinics, coupled with ownership culture, lead the way at Schweitzer Engineering Laboratories
authored by Bruce Shutan - Captives No Longer Eligible for FHLB System Membership
authored by Karrie Hyatt - INside the Beltway ERC Group Initiates Campaign to Address Federal, State Issues
authored by Dave Kirby - OUTside the Beltway SIIA Members Learn Practice Pays in Effective Government Relations
authored by Dave Kirby - How to Leverage Health Benefits Supplemental Plans, HSAs Fill Coverage Gaps, Incent Patients
authored by Bruce Shutan - All's Fair in Love & Subro... The Supreme Court Challenges Our Current Understanding of "Fairness"
authored by Christopher Aguiar - PPACA, HIPAA and Federal Health Benefit Mandates IRS Notice 2015-87 Provides Much Needed Guidance for Account-Based Plans and ACA Employer Shared Responsibility Requirement (IRC 4980H)
authored by John R. Hickman, Ashley Gillihan, Carolyn Smith, and Dan Taylor - Winds of Change Blowing Strong in 2016
authored by Anand Natampalli, MBA - SIIA Endeavors 2016 International Conference in San Jose is the Center of All That is Costa Rica