Navigating Legal Challenges in Self-Insured Health Plans

Insights from aequum Leaders at the SIIA Innov8 National Conference
At the SIIA Innov8 National Conference, aequum LLC proudly presents its leadership team's expertise, particularly in addressing pressing employer challenges such as fiduciary lawsuits and escalating medical claims costs. The conference will be a gathering of brilliant minds, curated to equip employers with effective strategies for managing self-insured health plans.
Key Presentations on Legal Risks
Christine Cooper, the CEO and Co-Founder of aequum, and Jack Towarnicky, a dedicated member of the team, will share their insights during their respective sessions. Cooper's session, titled "Lawsuits Alleging Fiduciary Breaches," addresses the increasing litigation risks faced by self-insured health plan sponsors.
Understanding Fiduciary Duties
Cooper highlights the significant responsibility that comes with managing a self-insured health plan. "Employers must be vigilant, as even the most responsible companies can be targetted for lawsuits if they don't actively manage healthcare costs. Shielding against litigation is crucial. It's about being proactive and ensuring you aren't an easy target," she explains. In her session, Cooper plans to discuss how specialized resources like aequum can aid employers in crafting legally sound and cost-efficient plans.
The Growing Wave of Litigation
The discussions at the conference will delve deeper into the emerging trend of lawsuits that focus on alleged overpayments for medical and pharmacy benefits. Cooper's panel aims to provide a thorough examination of such cases, spotlighting issues related to fiduciary breaches and the Department of Labor's current position on accountability for service providers.
Addressing Financial Stress from Catastrophic Claims
Jack Towarnicky's session, "New and Innovative Solutions to High-Cost Medical Claims," will focus on the financial strains inflicted by catastrophic claims on self-insured health plans. Towarnicky shares, "We will tackle the reality of high-cost treatments, including the latest advancements like cell and gene therapies, and equip plan sponsors with actionable recommendations to minimize exposure to these burdensome expenses."
Collaborative Approach to Healthcare Costs
The SIIA National Conference serves as a crucial platform for connecting self-insured health industry leaders, promoting discussions on innovative strategies to navigate the complexities of modern healthcare costs. Collaboratively addressing these challenges can pave the way for sustainable healthcare solutions.
About aequum LLC
Founded in 2020, aequum LLC has made significant strides in supporting third-party administrators, medical cost management firms, employer-sponsored health plans, and brokers nationwide. The company is dedicated to improving participant satisfaction and generating cost savings for both health plans and their members. Moreover, aequum aids patients in combating medical balance bills and partners with Koehler Fitzgerald LLC for legal advocacy services.
Frequently Asked Questions
What is the focus of the SIIA Innov8 National Conference?
The SIIA Innov8 National Conference focuses on pressing issues in self-insured health plans, including fiduciary lawsuits and managing high-cost medical claims.
Who represents aequum at the conference?
Christine Cooper and Jack Towarnicky are representing aequum LLC at the conference, presenting valuable insights from their experiences.
What are fiduciary breaches?
Fiduciary breaches occur when a health plan sponsor fails to manage the plan's assets in the best interests of the participants, potentially leading to legal action.
Why is it crucial to manage healthcare costs?
Proactively managing healthcare costs can help avoid legal risks and ensure the sustainability of self-insured health plans.
What services does aequum provide?
aequum offers support for health plans and their participants, helping navigate issues like medical balance bills, compliance, and cost management.
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