The Carrier Said It Wasn’t a Fiduciary. The Court Said Otherwise.
What Aramark v. Independence Insurance Co. d/b/a Independence Administrators means for every self-funded employer who has been told “we’re just the administrator”
Chris Deacon
Chris Deacon, JD, is a healthcare leader and self-described public sector entrepreneur. Deacon formerly ran New Jersey's public sector health plan, covering 820k lives, and is recognized for her demand of transparency and accountability.
Live Last read · last published · next check
Latest posts
Tenet Sent a Cancer Hospital a $60 Million Bill. Then Threatened to Shut Off Its Operating Rooms.
Inside a lawsuit that reads less like a contract fight and more like a textbook antitrust complaint.
340B and PBM Reform Hurts. Aetna Pricing Helps. CVS’s Earnings Call Tells the Story.
CVS Health had a very good quarter.
Elevance Wants What Clover Got. Here’s What That Fight Could Cost CMS’s Star Ratings Playbook.
A district court just said CMS’s practice of updating Star Ratings measures through guidance, not rulemaking, doesn’t cut it. Elevance is the first to come crying “me too.” It won’t be the last.
Self-Funded Employers Shouldn't Count Their Savings Just Yet
Why banning anti-steering clauses is necessary but not sufficient - and why self-funded employers may be the last to benefit.
Your Health Plan Has Three Customers. You're Not One of Them.
PwC's 2027 report projects 9% trend growth and recommends employer levers. Earnings calls suggest why those levers may not be enough.
When the Price, isn't the Actual Price
What Employers Need to Understand About BlueCard Pricing
When Your Carrier Is Also Your Stop Loss Provider
For many self-funded employers, using the same company for both administrative services and stop loss coverage feels efficient.
How WakeMed Positioned Itself for Acquisition
Public land transfers, redevelopment approvals, and years of expansion preceded the deal where Atrium Health seeks to become WakeMed’s sole member Positioned Itself for Acquisition
A Rare Look Inside a Litigated Claims Audit
An unsealed expert report sheds light on healthcare claims administration, settlement reporting, and the growing importance of independent data validation.