US Airways, Inc. v. McCutchen: Third Circuit Logic Fails to Hang Together

On November 16, 2011, a panel of the Third Circuit Court of Appeals decided US Airways v. McCutchen, No. 10-3836, 2011 U.S. App. LEXIS 22883 (3d Cir. Nov. 16, 2011).  The Court claims to respond to the Sereboff court’s argument left open by footnote two in the Supreme Court’s decision in Sereboff v. Mid-Atlantic, which the Court declined to address because it was not raised in the district court or the Fourth Circuit:  “…even if the relief Mid Atlantic sought was ‘equitable’ under § 502(a)(3), it was not ‘appropriate’ under that provision in that it contravened principles like the make-whole doctrine.” Continue reading

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When Selecting a Healthcare Subrogation Company, It is Critical to Select a Company That Deals Directly With You and Understands Your Culture

In the fifth post in this series, I explained why it is critical to select a company whose principals are recognized as industry experts.  In this post, I will discuss the benefits of working with a subrogation company that deals directly with you and understands your culture.

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When Selecting a Healthcare Subrogation Company, It is Critical to Select a Company With Principals Who Are Recognized as Industry Experts

In the fourth post in this series, I explained why the most effective healthcare subrogation companies are those that understand subrogation from a legal perspective.  In this post, I will explain why it is also important for a healthcare subrogation vendor to have principals who are recognized as industry experts.

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When Selecting a Healthcare Subrogation Vendor, It is Critical to Select a Vendor That Understands Healthcare Subrogation From a Legal Perspective

In the third post in this series, I explained why the most effective healthcare subrogation companies are those with experience and a proven track record.  In this post, I will explain why it is so important for a healthcare subrogation vendor to understand healthcare subrogation from a legal perspective.

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Medical Malpractice and Healthcare Subrogation: You Can’t Just Say “ERISA” And Make A Recovery

Today’s post is a break from the series I started a few weeks ago. I heard a story about a pending lawsuit and couldn’t let it pass without posting some comments. I’m not going to reveal the names of the lawyers or the parties in order to protect the innocent and the non-so-innocent!

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When Selecting a Healthcare Subrogation Vendor, It is Critical to Select a Vendor That Is Experienced With A Proven Track Record

In the second post in this series, I explained why a full-time “specialty” focus on healthcare subrogation is so important when evaluating and selecting a vendor.  In this post, I will explain why the most effective healthcare subrogation companies are those with experience and a proven track record.

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When Selecting a Healthcare Subrogation Vendor, It is Critical to Select a Vendor That Specializes in Healthcare Subrogation

In the introduction to this series, I emphasized the importance of selecting a healthcare subrogation vendor that specializes in healthcare subrogation.  A lot of vendors that attempt to handle healthcare subrogation do a lot of different things within healthcare cost containment and, possibly, outside of the area altogether. Why is a consistent focus on healthcare subrogation so important?

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Selecting A Vendor To Carve Out Healthcare Subrogation

So you’ve gained a new understanding of how carving out healthcare subrogation can positively impact your plan, you’ve obtained the prior 12 months of reports, and you’ve evaluated those results and discovered that you are on the lower end of the $7.00-$17.00 per member per year (PMPY) recovery range.  You’ve decided that you want to carve out subrogation and give your plan the best opportunity to reach $17.00 PMPY.  This entry will be the first in a seven part series on what to look for in a healthcare subrogation vendor.

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How Do You Measure Healthcare Subrogation Performance?

In my first blog entry in this series, I explained why HR/Benefits professionals, CFOs, VPs of Finance, etc., should care greatly about ensuring that their healthcare subrogation program is best-in-class.  For a company with 40,000 participants on its plan, the swing can be $1,000,000 per year to go from underperforming to best-in-class.

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Overcoming Objections to Getting Your Healthcare Subrogation Performance Information

From time-to-time, I hear from companies that they can’t get their subrogation provider to turn over their subrogation reports to them.  This usually makes them suspicious, which is probably a good thing.  In my experience, subrogation services companies that are not excited to share their results with their clients — but, rather, are intentionally avoiding turning over reports — are probably not too excited about the results they are producing.

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