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Practical Guidance for Self-Funded Health Plans.
Articles and insights for employers, TPAs, brokers, and cost containment partners navigating medical billing disputes, NSA compliance, and reference-based pricing.
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Balance Billing
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Cost Containment
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Featured Article
NSA / IDR
IDR Dispute Volumes Are Surging: What Self-Funded Plans Need to Know in 2026
CMS data shows employer plans faced over 524,000 IDR disputes in a single quarter of 2025, a 119% year-over-year increase. What that means for your plan and what to do about it.
June 2026 ยท 8 min read
Read Article → Balance Billing
Balance Billing and Reference-Based Pricing: What Employers Need to Know
Why RBP plans face consistent provider pushback and how self-funded employers can protect themselves.
May 2026Read →
ERISA
ERISA Fiduciary Duties and Medical Billing Disputes: What Plan Sponsors Need to Document
How active billing defense supports fiduciary obligations and what the documentation trail should look like.
April 2026Read →
NSA / IDR
What to Do When You Receive an Open Negotiation Notice
A plain-language guide for plan administrators on what the notice means, what deadlines it triggers, and how to respond.
March 2026Read →
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aequum LLC is not a law firm. Legal services are provided by Koehler Fitzgerald LLC. Results vary. No attorney can guarantee a particular outcome.
aequum LLC is not a law firm. Legal services are provided by Koehler Fitzgerald LLC. Results vary. No attorney can guarantee a particular outcome.