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Self-Insured Health Plans Should Seek Return of Plan Assets After Supreme Court Decision
AVYM Healthcare Revenue Consultants 
May 12, 2015 "[I]t is extremely critical for all self-insured health plans and TPAs to understand the implications of the Supreme Court decision rejecting BCBSM's $6.1 million appeal. Furthermore, in accordance with the Supreme Court Hi-Lex decision and the reopening of pending cases, all self-insured health plans nationwide should look to recover at least $30 to $45 billion in Plan Asset refunds from the past 10 years of successful plan assets TPA/ASO anti-fraud recoupments and managed care savings in the private sector." [Hi-Lex Controls v. Blue Cross Blue Shield of Michigan, Nos. 13-1773/1859 (6th Cir. May 14, 2014; cert. denied Oct. 20, 2014)] |
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