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Continuing the Conversation
with
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Doug Aldeen

On 4/7/2021 we had with us Doug Aldeen, health care attorney, specialist in employer plan law

Topic

Employers & Benefit Advisors: Are you in ERISA's Crosshairs?

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Every Wednesday your Freedom Hub (founded by Jeff Kanter and Charles Frohman) hosts two Zoom calls. One is at 4pm, the other at 7pm. The 4pm call is eclectic (often regarding our liberties…or disappearing liberties) and the 7pm usually is centered around practitioners who use a cash-based practice and what they do. These are recorded and archived. There are over 90 to date!

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Trump may have issued a regulation attempting to disgorge opaque hospital pricing, but most employers have not done their part to upgrade to more transparent, effective health plans.  Attorney Aldeen warns this employer intransigence may lead to a huge legal liabilty.

 

Doug has been speaking to a lot of experts, how commercial insurance plans serve as an "ATM" for hospitals - at the expense of employers and patients.  This is because, as Mr. Aldeen believes, no one is monitoring, auditing, and demanding to see what’s getting billed, what’s getting paid, and why. And with the employer fiduciary duty under ERISA (the federal employer healthplan law), this could be a costly oversight for employers (and their advisors?) that may lead to lawsuits in the future.

 

Having represented reference-based pricing organizations, PPO networks, medium to small self-funded plans, TPA’s and provider sponsored HMO’s in various capacities, Aldeen is the type of in-the-trenches health lawyer that deserves attention from the community of advisors, payors and employers.

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