Phia GroupPhia Group Mediahttps://www.phiagroup.com/Media/PostsEmpowering Plans: P185 – Weighing the Optionshttps://www.phiagroup.com/Media/Posts/PostId/1318/empowering-plans-p185-weighing-the-optionsPodcastsThu, 14 Mar 2024 17:51:40 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/pjE_-C_W3RU?si=aL4aDJGDAum1O2F_" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:12pt"><span aptos="" style="font-family:"><span arial="" style="font-family:">Over the last twelve months we have seen major interest in GLP-1s  (Semaglutide- Ozempic / Wegovy and Tirzepatide – Mounjaro / Zepbound). Although GLP-1s have been around for years as a treatment for diabetes, the recent popularity is due to their use as a weight loss drug. Join Ron Peck and Corey Crigger as they discuss the impact this surge in demand has had on health plans and consumers. Are health plans and consumers informed about the benefits and drawbacks of this drug?  Are consumers too focused on the benefits? Are health plans too focused on cost? Find out as Ron and Corey discuss one of the hottest topics in the industry. </span></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:12pt"><span aptos="" style="font-family:"><span style="font-family:"Arial",sans-serif"></span></span></span></span></p> <p style="margin: 0in; text-align: justify;"> </p> <p><span style="color:#000000;"></span></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:12pt"><span aptos="" style="font-family:"><span style="font-family:"Arial",sans-serif"></span></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:12pt"><span aptos="" style="font-family:"><span arial="" style="font-family:"><a href="https://youtu.be/pjE_-C_W3RU">Click here to check out the podcast!</a> (Make sure you subscribe to our <a href="https://youtu.be/pjE_-C_W3RU">YouTube</a> and <a href="https://podcasts.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#467886; text-decoration:underline">Apple Podcasts</a> Channels!)</span></span></span></span></p> <p style="margin: 0in; text-align: justify;"> </p> 1318Empowering Plans: P184 – State of the Union, 2024https://www.phiagroup.com/Media/Posts/PostId/1316/empowering-plans-p184-state-of-the-union-2024PodcastsFri, 08 Mar 2024 18:16:40 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/TIadlrwCGp4?si=JlILNcL2Mo8D9xrt" title="YouTube video player" width="560"></iframe></p> <p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span aptos=""></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span style="color:#000000;">In his third State of the Union address, President Biden touted his administration’s record and outlined the issues he and his team will likely be campaigning on heavily as the 2024 presidential race kicks off in earnest. Sprinkled throughout were a number of policy wish list items, including some key healthcare initiatives that we’ll be keeping a close eye on in the coming months. Attorneys Brady Bizarro and Nick Bonds bring you some of the highlights in this episode of the Empowering Plans podcast.  </span></span></span></p> <p style="text-align: justify;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span aptos=""></span></span></span></p> <p style="text-align: justify;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span aptos=""><a href="https://youtu.be/TIadlrwCGp4">Click here to check out the podcast!</a><span style="color:black"> (Make sure you subscribe to our </span><a href="https://youtu.be/TIadlrwCGp4">YouTube</a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#467886; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></span></p> 1316Empowering Plans: P183 – The Therapeutic Equivalence Approach: A New “Pill”ar of Contraceptive Coveragehttps://www.phiagroup.com/Media/Posts/PostId/1314/empowering-plans-p183-the-therapeutic-equivalence-approach-a-new-pillar-of-contraceptive-coveragePodcastsThu, 29 Feb 2024 20:12:15 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/yol0L4GWzN4?si=PbnGwcB6l784-ybp" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:14px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span aptos=""><span calibri=""><span style="color:#000000;">The DOL recently issued new guidance on the long-standing contraceptive coverage mandate, and this time they took a different approach. Instead of clarifying prior guidance or issuing novel interpretations of the law, the DOL is giving health plans an alternative way to comply with the contraceptive coverage mandate: either follow the prior guidance issued in 2022… or don’t! The DOL introduced the “therapeutic equivalence” approach, whereby plans can comply with the law in a different, potentially less-burdensome way. Join The Phia Group’s Kendall Jackson and Jon Jablon as they discuss this “therapeutic equivalence” approach to compliance, what it means for consumers, and what it means for health plans.</span></span></span><br /> <span aptos=""><br /> <a href="https://youtu.be/yol0L4GWzN4">Click here to check out the podcast!</a><span style="color:black"> (Make sure you subscribe to our </span><a href="https://youtu.be/yol0L4GWzN4">YouTube</a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#467886; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:12pt"><span aptos="" style="font-family:"><span style="font-size:11.0pt"><span calibri="" style="font-family:"></span></span></span></span></p> 1314Empowering Plans: P182 – Navigating Post-Settlement Fund Pursuitshttps://www.phiagroup.com/Media/Posts/PostId/1311/empowering-plans-p182-navigating-post-settlement-fund-pursuitsPodcastsThu, 15 Feb 2024 21:11:27 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/fRX_QUf4ox8?si=Q7yOlslKZpT6jHk5" title="YouTube video player" width="560"></iframe></p> <p style="text-align: justify;"><span style="color:#000000;"> <span style="font-size:14px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span aptos=""> Attorneys Andrew Silverio and Cindy Merrell discuss a newly decided case which provides a roadmap for pursuing settlement funds after disbursement. Who has the burden of proof when the funds have been dissipated? What is lowest intermediate balance rule? </span></span></span></span><span style="font-size:14px;"><span style="font-family:Arial,Helvetica,sans-serif;"></span></span></p> <p style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span aptos=""><a href="https://youtu.be/fRX_QUf4ox8">Click here to check out the podcast!</a><span style="color:black"> (Make sure you subscribe to our </span><a href="https://youtu.be/fRX_QUf4ox8">YouTube </a><span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#467886; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></span></p> 1311Empowering Plans: P181 – Chevron Deference in Peril – What It Could Mean for Healthcare Regulationshttps://www.phiagroup.com/Media/Posts/PostId/1309/empowering-plans-p181-chevron-deference-in-peril-what-it-could-mean-for-healthcare-regulationsPodcastsThu, 01 Feb 2024 20:24:33 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/6CTWtTQNv1E?si=YLXHenv_4tukQhkj" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:12pt"><span aptos="" style="font-family:"><span style="font-size:11.0pt">In this episode of the Empowering Plans podcast, attorneys Brady Bizarro and Brian O’Hara discuss the legal doctrine involved in two cases now before the Supreme Court – <u>Chevron</u> deference. They’ll explain what it means, why it is important for federal agency action, and how it impacts the entire healthcare industry. With a decision expected by this summer, you do not want to miss our take on how the NSA, the Medicare drug price negotiations, and the ACA itself could be at stake.</span></span></span><br /> <span style="font-size:11.0pt"><span aptos="" style="font-family:"><br /> <a href="https://www.youtube.com/watch?v=6CTWtTQNv1E">Click here to check out the podcast!</a><span style="color:black"> (Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=6CTWtTQNv1E">YouTube</a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#467886; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></p> 1309Empowering Plans: P180 – The Continuing Evolution of MHPAEAhttps://www.phiagroup.com/Media/Posts/PostId/1307/empowering-plans-p180-the-continuing-evolution-of-mhpaeaPodcastsThu, 18 Jan 2024 15:45:30 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/jcruONvPkxk?si=LL_VB5k3ZPnE_9_F" title="YouTube video player" width="560"></iframe></p> <p style="text-align:justify; margin:0in 0in 8pt"><span style="color:#000000;"><span style="font-size:11pt"><span style="line-height:107%"><span aptos="" style="font-family:"><span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:">One might think they’re listening to a broken record when hearing Jennifer McCormick and Kelly Dempsey discuss the ever-shifting landscape of the Mental Health Parity and Addiction Equity Act (MHPAEA), but alas, this is a brand new podcast! As we start 2024, we are reframing our mindset and are making some changes to address the evolving MHPAEA regulations and insights we have received from regulating bodies through the NQTL Comparative Analysis Process. In addition to highlighting the significance of how these issues should be addressed within an employer’s PD/SPD, there are three main changes discussed to create visibility for employers creating new 2024 PD/SPDs.</span></span></span></span></span></span></span></p> <p><span style="font-size:12.0pt"><span style="line-height:107%"><span calibri="" style="font-family:"><a href="https://www.youtube.com/watch?v=jcruONvPkxk"><span style="color:#0071ce">Click here to check out the podcast!</span></a><span style="color:black"> (Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=jcruONvPkxk"><span style="color:#0071ce;">YouTube</span></a><span style="color:#0071ce;"> </span><span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:blue; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></span></p> 1307Empowering Plans: P179 – Higher Healthcare Prices (Made From Concentrate)https://www.phiagroup.com/Media/Posts/PostId/1301/empowering-plans-p179-higher-healthcare-prices-made-from-concentratePodcastsThu, 04 Jan 2024 21:07:23 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/yxvGmRYSfIs?si=3SRQ2yJrW_cdGSAy" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span style="color:#000000;">The trend of provider consolidation is primed to pick up pace in 2024, distilling some areas into even more highly concentrated healthcare markets. Ron Peck and Nick Bonds break down how this concentration impacts the costs of healthcare and can drive costs upward for employers and employees alike. With fewer provider options, higher prices, and patients caught in the middle, Ron and Nick outline just a few of their concerns and discuss some of the tools health plans have at their disposal.  </span></span></span></span><br />  </p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"></span></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"></span></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><a href="https://youtu.be/yxvGmRYSfIs"><span style="color:#0071ce;"><u><span style="font-size:12.0pt">Click here to check out the podcast!</span></u></span></a><span style="font-size:12.0pt"><span style="color:#000000;"> (Make sure you subscribe to our <a href="https://youtu.be/yxvGmRYSfIs"><u>YouTube</u></a> and</span><span style="color:black"> </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:blue; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:#000000;">Channels!)</span></span><span style="font-size:12.0pt"></span></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"></span></span></p> 1301Empowering Plans: P178 – Back to December (Phia’s Version)https://www.phiagroup.com/Media/Posts/PostId/1297/empowering-plans-p178-back-to-december-phias-versionPodcastsThu, 21 Dec 2023 13:12:30 GMT<p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="color:#000000;">It is the last podcast of the year, and you know All Too Well that it is Phia’s 2023 year-in-review! Sparks Fly as Kendall Jackson and Corey Crigger talk about how Everything in PGC and Provider Relations Has Changed in 2023. If you need to catch up on anything from the No Surprises Act to Gag Clause Attestations, You Need To Calm Down and Stay Stay Stay tuned into this podcast episode. In addition to the big changes in 2023, we look forward to 2024 and ask, are you … Ready For It?  </span></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"> <span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"> <u><br /> <a href="https://www.youtube.com/watch?v=rvIionN46NM">Click here to check out the podcast!</a></u> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=rvIionN46NM"><u>YouTube</u></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:blue; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></span> </span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif"></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif"></span></span></p> 1297Empowering Plans: P177 – Entering the Danger Zone: Cross-Plan Offsettinghttps://www.phiagroup.com/Media/Posts/PostId/1293/empowering-plans-p177-entering-the-danger-zone-cross-plan-offsettingPodcastsFri, 08 Dec 2023 14:53:17 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/Cf9aLsrjCZY?si=FW9YlcmTuPQfKcHt" title="YouTube video player" width="560"></iframe></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span style="color:#000000;">Attorneys Jon Jablon and Cindy Merrell discuss the practice of cross-plan offsetting and the recent settlement between the Department of Labor and EmblemHealth Inc. Who wins and who loses when a TPA decides to use cross-plan offset? </span><br /> <br /> <u><a href="https://www.youtube.com/watch?v=Cf9aLsrjCZY">Click here to check out the podcast!</a></u> <span style="color:black">(Make sure you subscribe to our </span><u><a href="https://www.youtube.com/watch?v=Cf9aLsrjCZY">YouTube</a></u> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:blue; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></span></p> 1293Empowering Plans: P176 – Copay Accumulator Programs Take a Hit: What’s Next?https://www.phiagroup.com/Media/Posts/PostId/1290/empowering-plans-p176-copay-accumulator-programs-take-a-hit-whats-nextPodcastsTue, 21 Nov 2023 20:54:03 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/FbGyR6zI5Wg?si=YEUk9MSJBdL70WoM" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span style="color:#000000;">Attorneys Brady Bizarro and Andrew Silverio discuss a recent federal court decision that saw drug manufacturers and patients alike score a win against copay accumulator programs – programs that help maximize the manufacturer assistance available to patients but decline to count those amounts toward deductibles and out-of-pocket maximums.  With the latest rule being struck down, where does the law stand now and what will happen next?</span><br /> <br /> <a href="https://www.youtube.com/watch?v=FbGyR6zI5Wg">Click here to check out the podcast!</a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=FbGyR6zI5Wg">YouTube</a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span></a> <span style="color:black">Channels!)</span></span></span></p> <p><span style="font-size:16px;"></span></p> <p style="margin:0in"> </p> <p style="margin:0in"> </p> 1290Empowering Plans: P175 – No Surprises Act Brings More Surprises & Other Surprises for 2024https://www.phiagroup.com/Media/Posts/PostId/1287/no-surprises-act-brings-more-surprises-other-surprises-for-2024PodcastsThu, 09 Nov 2023 13:29:11 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/NIspcQL0hos?si=HIVTzGYbZuEQNCS3" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif"><span style="color:#000000;">Join Provider Relations Senior Attorney, Brian O’Hara, and Vice President of Consulting, Kelly Dempsey, for a quick rundown of changes to be prepared for as we near 2024. While there are the regular recurring changes to ACA and IRS out-of-pocket limits, this podcast will uncover a couple lesser-known items hidden in some NSA proposed rules and a couple other items for 2024 that might have fallen off the radar, including COVID-19 tolling requirements. (COVID may be over but the impact on certain items could extend well into 2024…). </span><br /> <br /> <a href="https://www.youtube.com/watch?v=NIspcQL0hos">Click here to check out the podcast!</a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=NIspcQL0hos">YouTube </a><span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></p> 1287Empowering Plans: P174 – PCORI and Parity and Lawsuits, Oh My!https://www.phiagroup.com/Media/Posts/PostId/1285/empowering-plans-p174-pcori-and-parity-and-lawsuits-oh-myPodcastsThu, 26 Oct 2023 20:14:26 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/bJZChZk9J-I?si=aGhVpmF8KOumiZlq" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in 0in 8pt; text-align: justify;"><span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><span style="font-size:14.0pt"><span style="line-height:107%">It’s the spookiest time of the year, and I’m not just talking about renewal season. In this Halloween episode of the Empowering Plans podcast, Jennifer McCormick and Nick Bonds talk through some of the scary issues creeping up on health plans: rising PCORI fees, proposed regulations on mental health parity rules, and two fascinating court cases that may have significant implications for ERISA plans going forward. But don’t be scared, Phia is here to help!  </span></span></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><span style="font-size:14.0pt"><span calibri="" style="font-family:"><a href="https://youtu.be/bJZChZk9J-I">Click here to check out the podcast!</a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://youtu.be/bJZChZk9J-I">YouTube</a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:blue; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></span></p> 1285Empowering Plans: P173 – Gene-y in a Bottle: A Magical Overview of Cell and Gene Therapyhttps://www.phiagroup.com/Media/Posts/PostId/1280/empowering-plans-p173-gene-y-in-a-bottle-a-magical-overview-of-cell-and-gene-therapyPodcastsThu, 12 Oct 2023 20:27:05 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/4qZA5-pAiog?si=A-hw5eC9x5pAe7cN" title="YouTube video player" width="560"></iframe></p> <p style="margin:0in"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span calibri=""><u><span style="color:#0071ce"></span></u></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="color:#000000;">Your wish is our command!  Join Ron Peck and Corey Crigger as they discuss how this emerging treatment can impact self-funded health plans. With prices as high as $3.5 million, you can’t just wish for a strategy for dealing with these therapies, you must plan for it. Ron and Corey discuss the motivations to cover, the future benefits, and the concerns they are hearing from clients. You don’t know what we can see, so join us on a magic carpet ride around this life saving, but costly treatment. </span></span></span><br />  </p> <p style="margin: 0in; text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span calibri=""><u><span style="color:#0071ce"></span></u></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span calibri=""><u><span style="color:#0071ce"></span></u></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;"><span calibri=""><a href="https://www.youtube.com/watch?v=4qZA5-pAiog"><u><span style="color:#0071ce">Click here to check out the podcast!</span></u></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=4qZA5-pAiog"><u><span style="color:#0071ce">YouTube</span></u></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> 1280Empowering Plans: P172 – Navigating the Gag Clause Prohibitionhttps://www.phiagroup.com/Media/Posts/PostId/1277/empowering-plans-p171-navigating-the-gag-clause-prohibitionPodcastsThu, 28 Sep 2023 17:33:30 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/byPFLbtE1n4?si=yjJQz64WGWICwydE" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:11pt"><span calibri=""><span style="font-size:12.0pt">In this installment of The Phia Group’s Empowering Plans podcast, attorneys Jon Jablon and Kendall Jackson delve into the issue of the gag clause prohibition, a mysterious law that continues to confound the self-funded industry. With the first attestation requirement approaching at the end of 2023, now is the time to make sure you know what needs to be done, how to do it, and how to keep yourself safe and compliant.</span></span></span></span></p> <p style="margin: 0in; text-align: justify;"> </p> <p style="margin:0in"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span calibri=""><a href="https://www.youtube.com/watch?v=byPFLbtE1n4"><u><span style="color:#0071ce">Click here to check out the podcast!</span></u></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=byPFLbtE1n4"><u><span style="color:#0071ce">YouTube</span></u></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"></span></span></span></p> 1277Empowering Plans: P171 – Mass Torts 101https://www.phiagroup.com/Media/Posts/PostId/1274/empowering-plans-p171-mass-torts-101PodcastsFri, 15 Sep 2023 12:31:32 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/LVFD7cWwQpc?si=3_APJ4tD3O0_HKC7" title="YouTube video player" width="560"></iframe></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><u></u></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span style="color:#000000;">From time to time, do you hear about mass torts in the news but feel like you could use a little more background knowledge? Look no further than the latest edition of the Empowering Plans podcast series, (“Mass Torts 101”) in which attorneys Cindy Merrell and Lisa Hill explain the difference between the two types of mass tort cases -- class action and multidistrict litigation (MDL) – while delving into a couple of the larger MDLs making news of late. </span> </span></span><br />  </p> <p style="margin:0in"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"></span></span></p> <p style="margin:0in"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span calibri=""><u></u></span></span></span></p> <p style="margin:0in"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span calibri=""><a href="https://youtu.be/LVFD7cWwQpc"><u><span style="color:#0071ce">Click here to check out the podcast!</span></u></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://youtu.be/LVFD7cWwQpc"><u><span style="color:#0071ce">YouTube</span></u></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> 1274Empowering Plans: P170 – PSA on the NSAhttps://www.phiagroup.com/Media/Posts/PostId/1273/empowering-plans-p170-psa-on-the-nsaPodcastsThu, 31 Aug 2023 19:21:31 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/S3WrfaDC724?si=KkBU3Tf5QVW6tGq6" title="YouTube video player" width="560"></iframe></p> <p style="text-align: justify;"><span style="color:#000000;"></span></p> <p><span style="color:#000000;"></span></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"></span></span></span></span></p> <p style="margin: 0in; text-align: justify;"><span style="color:#000000;"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt">It’s 10’o clock, do you know where your IDR determinations are? Join Attorneys Brian O’Hara and Corey Crigger as they issue a public service announcement on the state of the No Surprises Act, and specifically the challenges with the IDR process. Friends don’t let friends miss this podcast! In addition to the PSA on NSA, Corey discusses a case study highlighting the benefits of the Safeguard Program. Just Say No to skipping this episode of Empowering Plans.</span></span></span></span><br />  </p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"></span></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><u><a href="https://youtu.be/S3WrfaDC724"><span style="color:#0071ce">Click here to check out the podcast!</span></a></u> <span style="color:black">(Make sure you subscribe to our </span><u><a href="https://youtu.be/S3WrfaDC724"><span style="color:#0071ce">YouTube</span></a></u> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> <p><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span style="color:black"></span></span></span></span></p> 1273Empowering Plans: P169 – Let’s Keep Learning - Back to (Law) Schoolhttps://www.phiagroup.com/Media/Posts/PostId/1269/empowering-plans-p169-lets-keep-learning-back-to-law-schoolPodcastsThu, 17 Aug 2023 20:18:00 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/GfqZpnOdWYU" title="YouTube video player" width="560"></iframe></p> <p style="margin: 0in; text-align: justify;"><span style="font-size:11pt"><span calibri="" style="font-family:"><span style="color:#000000;"><span style="font-size:12.0pt">In the latest edition of the Empowering Plans podcast series, “</span></span><span style="font-size:12.0pt"><span style="color:#000000;">Let’s Keep Learning - Back to (Law) School,” Attorneys Kelly Dempsey and Corey Crigger are here to take us all back to school! Listen as they discuss renewal season preparation items and a variety of late breaking lawsuits that pertain to multiple aspects of the self-funded industry. From civil courts hearing cases about NSA administrative issues all the way to ACA compliance (or lack thereof) there is something in this podcast for everyone. Once you listen to the podcast - class dismissed! </span><br /> <a href="https://www.youtube.com/watch?v=6PATqw1WDDY" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce"></span></a><br /> <a href="https://youtu.be/GfqZpnOdWYU"><span style="color:#0071ce">Click here to check out the podcast!</span></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://youtu.be/GfqZpnOdWYU"><span style="color:#0071ce">YouTube</span></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> 1269Empowering Plans: P168 – “Drafting” Plan Exclusionshttps://www.phiagroup.com/Media/Posts/PostId/1266/empowering-plans-p168-drafting-plan-exclusionsPodcastsFri, 04 Aug 2023 13:10:00 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/6PATqw1WDDY" title="YouTube video player" width="560"></iframe></p> <p style="margin:0in"><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span style="color:#000000;">In this episode of Empowering Plans, Andrew Silverio and Kevin Brady discuss the unanticipated costs of playing pickleball and then “draft” their favorite (and least favorite) plan limitations and exclusions. Let us know who you think had the better picks!</span><br /> <span calibri=""><a href="https://www.youtube.com/watch?v=6PATqw1WDDY" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce"><br /> Click here to check out the podcast!</span></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=6PATqw1WDDY" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">YouTube</span></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> <p style="margin:0in"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif"></span></span></p> 1266Empowering Plans: P167 – Who is a Fiduciary and Does it Even Matter? Lawsuits Abound!https://www.phiagroup.com/Media/Posts/PostId/1262/empowering-plans-p167-who-is-a-fiduciary-and-does-it-even-matter-lawsuits-aboundPodcastsFri, 21 Jul 2023 12:55:59 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/jSpSOLpolqE" title="YouTube video player" width="560"></iframe></p> <p><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span style="color:#000000;">In this episode of Empowering Plans, The Phia Group’s Chief Legal Officer – Ron Peck – and Sr. VP of Consulting – Jennifer McCormick, analyze recent lawsuits involving self-funded plan sponsors and their third party administrators, and accusations of fiduciary breach on the part of TPAs.  We delve into whether TPAs can be fiduciaries, what this means, and whether it even matters when it comes down to how administrators manage plans.  Finally, are plan sponsors signing contracts enabling TPAs to do things contrary to ERISA, and who is to blame when this is the case?  Anyone and everyone handling self-funded plan assets needs to tune into this one! </span><span calibri=""><a href="https://youtu.be/0GRiq4kgrSQ" style="color:#0563c1; text-decoration:underline"><span style="color:#000000;"> </span></a></span></span></span></p> <p><span style="font-family:Arial,Helvetica,sans-serif;"><span style="font-size:16px;"><span calibri=""><a href="https://www.youtube.com/watch?v=jSpSOLpolqE" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Click here to check out the podcast!</span></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://www.youtube.com/watch?v=jSpSOLpolqE" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">YouTube</span></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></span></p> 1262Empowering Plans: P166 – Delving Into Dobbs, One Year Inhttps://www.phiagroup.com/Media/Posts/PostId/1257/empowering-plans-p166-delving-into-dobbs-one-year-inPodcastsFri, 07 Jul 2023 16:27:30 GMT<p><iframe allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/0GRiq4kgrSQ" title="YouTube video player" width="560"></iframe></p> <p style="margin-right:0in; margin-left:0in"><span style="font-size:16px;"><span style="color:#000000;"><span calibri="" style="font-family:">In the latest episode of Empowering Plans, attorneys Nick Bonds and Kendall Jackson discuss the changes that have occurred in the past year following the Supreme Court’s decision in <i>Dobbs</i>. How will new abortion laws affect self-funded plans and what are the implications for their participants? Tune in to learn how plans can navigate these changes.</span></span><br /> <span calibri="" style="font-family:"><a href="https://youtu.be/0GRiq4kgrSQ" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce"><br /> Click here to check out the podcast!</span></a> <span style="color:black">(Make sure you subscribe to our </span><a href="https://youtu.be/0GRiq4kgrSQ" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">YouTube</span></a> <span style="color:black">and </span><a href="https://itunes.apple.com/us/podcast/the-phia-groups-podcast/id1246462552?mt=2" style="color:#0563c1; text-decoration:underline"><span style="color:#0071ce">Apple Podcasts</span> </a><span style="color:black">Channels!)</span></span></span></p> 1257