The Phia Group, LLC | Claim Recovery Specialists

05/02/12 – Best Practices for Stop Loss

amilesky — Mon, 07 May 2012 00:17:25 +0000

Presented By Adam V. Russo, Esq
Optum Health
May 2, 2012

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04/25/12 – Working with the networks: An analysis of PPO & Pbm arrangements, agreements, & methods to avoid conflict s & ensure the relationship reflects the roles of those involved

amilesky — Mon, 07 May 2012 00:13:16 +0000

Presented By Adam V. Russo, Esq & Ron E. Peck, Esq.
SPBA Spring Meeting
April 25, 2012

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April 2012 – Waiting for the ‘Other Gavel’ to Fall: Trends Seen in Recent Case Law and Significant Precedent

amilesky — Tue, 24 Apr 2012 13:47:19 +0000

April 2012

March 2012 – Misinformation ‘Occupies’ Wall Street Journal

amilesky — Tue, 24 Apr 2012 13:43:43 +0000

March 2012

PGC Quarterly – April 2012

amilesky — Tue, 24 Apr 2012 13:37:25 +0000

Please enjoy this second issue of the PGC Quarterly!
Our goal is to provide you a quarterly update on the happenings within the healthcare industry, including news and feature articles. We hope to provide insight to the challenges and successes of regulation and legislation for the healthcare industry. Particularly since the first quarter of 2012 brought light to the controversy surrounding the health care reform arguments in the Supreme Court…

PGC Quarterly Newsletter

04/18/12 – Turning the Tide – Reversing The Rising Cost Trend Through Innovative Methodologies

amilesky — Thu, 19 Apr 2012 13:10:55 +0000

Presented By Adam V. Russo, Esq
W.T. Butler & Co. LTD.
April 18, 2012

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April 2012 Newsletter

amilesky — Wed, 18 Apr 2012 19:24:34 +0000

It’s April – spring is here and baseball has already started, so what could be better than that? Well maybe if my Cleveland Indians wouldn’t already have such a bad record, but I guess I am used to it…

April Newsletter

Register Now! – 05/16/12 – Working with the Networks – An Analysis of PPO and PBM Arrangments

amilesky — Wed, 18 Apr 2012 19:19:50 +0000

Benefit plans and their TPAs are contemplating alternatives to classic networks in response to rising costs. Many, however, are tied to their networks or simply feel alternatives aren’t viable. It is imperative that these plans implement best practices to contain costs while operating within the network’s parameters. Join The Phia Group as we analyze PPO and PBM contractual terms, offer suggestions to revise these agreements, and reveal strategies to limit costs; all without breaching your contracts.

To register click here

04/11/12 – A Detailed Assessment of the Stop-Loss Policy & Impact of its Terms

amilesky — Fri, 30 Mar 2012 15:20:40 +0000

From differing language to differing interpretations of plan provisions, stop-loss policies have always seriously impacted benefit plan management. In the face of reform as well as a new focus on the cost of care and network relationships, we must all consider the power of our words. Join The Phia Group as we discuss these matters, review classic stop-loss provisions in light of self-funded plans, and consider how to make all of the pieces fit.

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Audio Presentation with PowerPoint Slides

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03/29/12 – SBCs – What They Mean For You!

amilesky — Thu, 22 Mar 2012 20:45:53 +0000

This informative webinar will present the most current and relevant information on the recent (and pending) SBC regulations. The webinar will offer information in a concise and informative format.

Topics will include:

•SBC requirements
•SBC concerns
•Gaps between plans and the SBC
•Action items to stay ahead of the curve

PDF Only

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Audio Presentation with PowerPoint Slides

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