The Phia Group Blog

By: David Ostrowsky Private equity’s prevalent influence in healthcare is not a new story. It goes back to at least the mid-2000s when, after decades of securing a foothold in a wide swath of industries including manufacturing and telecommunications, many…

By: Naga Vivekanandan, Esq. Just when it seemed like the post-Dobbs legal landscape might stabilize, the abortion pill is back at the center of a national legal storm. On May 14, 2026, the U.S. Supreme Court granted a stay of…

By: Jon Jablon At its core, stop-loss has a nice, simple job: to provide financial protection for a health plan, via the employer, when the plan incurs covered catastrophic claims. That’s still the case, but the No Surprises Act (NSA)…

By: Kate MacDonald These days, plan administrators may feel like the self-funded landscape is akin to the wild, wild west. Many plan administrators wear many hats: They’re often both business owners and are responsible for insuring their employees and their…

By: Bryan M. Dunton, Esq. The No Surprises Act (NSA) was enacted to address a specific and highly visible problem: patients receiving unexpected out-of-network bills for care they did not choose and often could not avoid. In that respect, the…

By: David Ostrowsky Providers may be getting reimbursed from insurers in a timely manner, but improved cash flow hasn’t correlated with bountiful payments. And the chief culprit, unsurprisingly, appears to be an increase in clinical denial rates, largely stemming from…