My colleague, Win Rawson, President of Benefit Recovery and a former law partner of mine at Lawrence & Russell, attended the oral argument for the U.S. Airways v. McCutchen case. I thought you may find the observations of the oral argument from a seasoned health plan litigator interesting and helpful. Below are Win’s impressions he offered up to the staff… Read more →
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… Read more →
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. Bookmark on Delicious Digg this post Recommend on Facebook share via Reddit Share… Read more →
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. Bookmark on Delicious Digg this post Recommend on Facebook share… Read more →
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. Bookmark on Delicious Digg this post Recommend on Facebook share via… Read more →
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! Bookmark on Delicious Digg this post Recommend… Read more →
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. Bookmark on Delicious Digg this post Recommend on Facebook share via Reddit… Read more →
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? Bookmark on… Read more →
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… Read more →
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. Bookmark on Delicious Digg this post Recommend on… Read more →
Tom Lawrence serves as CEO of Benefit Recovery Inc. and senior partner of Lawrence & Russell, LLP. Lawrence is a frequent author and speaker on employee benefits topics across the nation. Read more
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