In an article published in Hospitals & Health Networks on Jan. 8, 2016, Emily M. Scott discusses self-funded employer health plans and what the plans mean for hospital billing and collection. In self-funded plans, employers set aside resources to pay employees’ medical bills themselves rather than paying premiums to an insurance company. “…medium-sized and smaller employers are increasingly willing to take the risks inherent in self-insuring in return for exemption from certain regulatory requirements of the ACA and potentially lower health care costs,” Scott explained. The increase in self-funded employer health plans has triggered an unintended consequence for hospitals with respect to payment for services. Scott describes what these consequences are, and details steps hospitals can take to manage billing and collection for patients with self-funded health plans. For the full article, you may click here.
Luis F. Ruiz