Senator Cassidy Sits Down With aequum

aequum recently had the opportunity to speak with Dr. Bill Cassidy, a Senator from Louisiana, about his thoughts on the current health care situation in the U.S. Senator Cassidy attended Louisiana State University School of Medicine where he earned an M.D. He specialized in the treatment of diseases of the liver at the Earl K. … Continued

Cross-Plan Offsetting in the Cross Hairs of ERISA

A recent decision from the U.S. Eighth Circuit Court of Appeals in Peterson v. UnitedHealth Group, Inc., et al., No. 17-1744 (8th Cir. 2019), and the lower court decision it affirms, place the practice of cross-plan offsetting squarely in the cross hairs of ERISA. Cross-plan offsetting is the recovery of alleged overpayments to a specific … Continued

Barriers to RBP Plans

“Few employers are using reference-based pricing (RBP) benefit design, even though there is broad awareness of its potential for delivering savings,” according to a qualitative study published in the February issue of The American Journal of Managed Care®. “Evaluations of US RBP programs have found reduced spending between 13.9% and 31.0% for joint replacement surgery, … Continued


Presently, Medicare pays only for emergency ground ambulance services when patients are transported to hospitals, critical access hospitals, skilled nursing facilities, and dialysis centers. Most Medicare beneficiaries are thus transported to one of these facilities even when a lower-acuity destination may be more appropriate. Based upon a White Paper by the U.S. Departments of Health … Continued