Phia Podcasts

Recent Posts

  • Empowering Plans: P123 – Supreme Court Takes Major Dialysis Case
    November 23, 2021
    In this episode of the Empowering Plans podcast, join attorneys Brady Bizarro and Andrew Silverio as they discuss important developments in dialysis case law. Earlier in November, the Supreme Court agreed to hear arguments in a case which could settle an important question about the Medicare Secondary Payer Act and have important ramifications for plan language and payment methodologies. Brady and Andrew trace the history of the case and the differences in legal interpretation by the lower courts. Finally, they offer some predictions about how the Court may rule and the impact it could have on the industry.
  • Empowering Plans: P122 – COVID-19 Vaccine Mandate Update
    November 12, 2021
    This week on Empowering Plans, Kelly Dempsey and Kevin Brady discuss the controversial OSHA vaccine mandate rules – where they started, where they stand now, and the many legal challenges that have arisen. This won’t be the last you hear of this topic and despite the legal challenges, employers should not delay in getting their action plan and policies in place.
  • Empowering Plans: P121 – Transplants: The Future is Now!
    October 29, 2021
    This week on Empowering Plans, Nick Bonds and Jon Jablon discuss a highly nuanced topic that has been the bane of many health plans: organ transplants. From interspecies organ transplantation to COVID’s effect on the global organ trade, it’s an evolving topic with serious implications on healthcare.
  • Empowering Plans: P120 – To Appeal, or not to Appeal
    October 15, 2021
    Join The Phia Group’s CLO and SVP of Consulting as they dissect the No Surprises Act and reveal how and confusion regarding what constitutes a basis for appeal.
  • Empowering Plans: P119 - Workers' Compensation & COVID-19 Claims
    September 30, 2021
    Join Rebekah McGuire-Dye and Cindy Merrell to discuss current Workers’ Compensation regulations impact health plans, responsibility for Covid-19 related claims.
  • Empowering Plans: P118 – You Can’t Always Get What You Want
    September 17, 2021
    This week on Empowering Plans, Attorneys Chris Aguiar and Cindy Merrell, discuss what happens when limited settlement funds force Plans to consider a reduction. Listen in to get all of the details.
  • Empowering Plans: P117 – Boost Your COVID-19 Vaccine Knowledge
    September 1, 2021
    This week on Empowering Plans, there are important COVID-19 vaccine updates to discuss. Check it out the FDA approval, booster shots and more!
  • Empowering Plans: P116 – Right to Repair and Healthcare
    August 20, 2021
    In this podcast episode, Phia Group attorneys discuss President Biden’s right to repair executive order and how the policy impacts healthcare. Listen now!
  • Empowering Plans: P115 – A Lightning Round of Healthcare Updates
    August 6, 2021
    In this Empowering Plans podcast episode, Phia Group attorneys discuss healthcare topics to keep you updated on the industry. Listen to the podcast here!
  • Empowering Plans: P114 – Time to Vent!
    July 23, 2021
    In this podcast episode, our Chief Legal Office discusses false beliefs in media and politics and dissects how they impact rulemaking. Listen here!
  • Empowering Plans: P113 – Ahlborn Revisited
    July 9, 2021
    In this episode, we talk about Medicaid, subrogation & reimbursement. Does “medical expenses” cover ALL expenses or only past expenses? Listen here.
  • Empowering Plans: P112 – Healthcare Subrogation, The Comeback! Post-Covid Edition
    June 25, 2021
    Our attorneys discuss healthcare subrogation post-COVID: what can plans expect with courts reopened & how can plans get high recovery numbers? Learn here.
  • Empowering Plans: P111 – Breaking Down Drug Importation!
    June 11, 2021
    In this episode, our attorneys discuss whether a participant can be a plan fiduciary after 3rd party recovery & state drug importation programs. Listen now.
  • Empowering Plans: P110 – NQTL? MHPAEA?! OMG, IDK!
    May 27, 2021
    In this podcast episode, our attorneys discuss Non-Quantitative Treatment Limitation for the Mental Health Parity & Addiction Equity Act. Listen here!
  • Empowering Plans: P109 – The Unanticipated Costs of COVID-19 Testing
    May 14, 2021
    In this episode of Empowering Plans Podcast, we discuss COVID-19 testing. Plan members don’t have to pay for tests, but group health plans do. Listen now!
  • Empowering Plans: P108 – A Win/Win Proposition – Better Quality for Patients, Real ROI for Plans
    May 11, 2021
    In this episode of the Empowering Plans Podcast, Jordan Feldman, CEO & Co-Founder of Rightway Healthcare, discusses Rightway's impact. Listen now!
  • Empowering Plans: P107 – Updates Employers Need to Know About the COVID-19 Vaccines
    April 30, 2021
    As COVID-19 infection rates appear to be trending downwards in most areas in the U.S., employers across the country are hard at work on reopening plans in anticipation of the lifting of most occupancy limitations to slow the spread of the virus. The big question employers are asking themselves is whether to mandate COVID-19 vaccinations for employees returning to the workplace to ensure a safe work environment. Phil and Brady take a deep dive into this issue discussing compliance considerations implicated when considering mandating vaccination as we as explore limitations, risks, and current trends being established by employers that have already reopened.
  • Empowering Plans: P106 – A No-Surprises Party – The No Surprises Act Dissected
    April 16, 2021
    In this episode we welcome back to the mic EVP and General Counsel, Ron Peck, as well as SVP of Consulting, Jen McCormick. These industry legends discuss the No Surprises Act, its likely impact on both the payer and provider industries, and provide listeners with guidance on what they need to do now, to ensure compliance when it goes live.
  • Empowering Plans: P105 – The Mystery Surrounding COVID-19 Long Haulers: Employment & Benefit Considerations
    April 6, 2021
    Legal Compliance & Regulatory Affairs Consultant, Phil Qualo, and Vice President of Consulting, Kelly Dempsey Esq., explore the phenomena surrounding COVID-19 long haulers. Although the term “long haulers” trigger thoughts of cross country truck driving, it has actually been used as a common reference to people who have been infected with the COVID-19 virus and have not fully recovered for weeks, months, and even up to a year after first experiencing symptoms. This episode provides personal insight into the challenges that these long haulers are facing that impact both employer and benefit considerations, including access to disability benefits and health care.
  • Empowering Plans: P104 – COVID-19 Vaccine Candidates – Vaccinating Vulnerable Populations
    March 17, 2021
    In this episode of Empowering Plans, Jen McCormick and Andi Goodman discuss the future of vaccinating vulnerable populations such as pregnant women and children, and the importance of vaccinating children in achieving herd immunity. What are the next steps for expanding vaccine eligibility? What do employers need to know if they are considering requiring their staff to get vaccinated before returning to work?
  • Empowering Plans: P103 – One Step Forward; Two Steps Back - The Lockdown and its Effect on Children with Disabilities
    March 2, 2021
    Join Timothy Pope, an Attorney in the Provider Relations Department, and Garrick Hunt, Phia’s Sales Manager, as they host a candid discussion about the harmful effects that the sweeping lockdown has had on families, and in particular on children with disabilities. Since the closing of most public schools, many children with disabilities have suffered immensely. As a parent of a child with mental disabilities, Garrick dives into his first-hand account of the lockdown’s impact on his family.
  • Empowering Plans: P102 – CYA: Cover Your Assets
    February 12, 2021
    In this episode of the Empowering Plans podcast, Nick and Brady talk through some developing trends in ERISA litigation. Do fiduciary duties apply to the protection of plan data? Could a data breach lead to claims under ERISA and HIPAA? What steps do ERISA fiduciaries need to take? Listen in as we explore where things stand, and where they might be heading.
  • Empowering Plans: P101 – Groundhog Day - A Year of COVID-19
    February 4, 2021
    In this episode of Empowering Plans, join Brady Bizarro and Jen McCormick as they have a conversation about the impact of COVID-19 on employers, health plans, and employees. How should employers be dealing with mental health, physical health, and productivity issues? What steps can health plans take to reduce claims exposure? How are employers planning to return to the office later this year? It may feel like Groundhog Day, but our advice is certainly not more of the same.
  • Empowering Plans: P100 – President Biden's First 100 Days - What to Expect
    January 22, 2021
    In this episode of the Empowering Plans podcast, Ron and Brady discuss the inauguration of President Biden and what his presidency could mean for healthcare policy. With Democrats in control of government, a lot could get done in the first 100 days - on COVID-19 relief, the ACA, and rolling back Trump-era rules. Join us as we break it all down.
  • Empowering Plans: P99 – Balance Bills, Medical Tourism, and Vaccines – Oh My!
    January 13, 2021
    In this episode of the Empowering Plans Podcast, Ron Peck is joined by Corey Crigger, an attorney in the Provider Relations Department. Ron and Corey discuss balance billing in the COVID world, medical tourism, and vaccine passports. What can we expect in the not so distant future? No one has a crystal ball, but Ron and Corey offer an insight on the implications of a tiered vaccine rollout that may not be uniform and business requiring proof of passport. Also, what parts of the pandemic does Corey see as a positive? Tune in to find out!
  • Empowering Plans: P98 – Balance Billing During COVID-19 and Beyond
    December 23, 2020
    In this episode of the Empowering Plans Podcast, Brady Bizarro is joined by a new face at Phia, Mitch Hilbert. Listen in as Brady and Mitch discuss how balance billing has been on an uptick during COVID, and how patients can possibly prevent this from occurring. Is Congress doing anything? What can we expect in the near future? Find out in our latest Empowering Plans Podcast.
  • Empowering Plans: P97 - COVID-19 Vaccine Candidates – What Health Plans Need to Know
    November 30, 2020
    In this episode of Empowering Plans, Brady is joined by Attorney Andrew Silverio. They discuss current COVID-19 vaccine candidates and everything health plans and employers need to know about them. When can we expect the first vaccines to arrive? Do health plans have to cover them at full price? Can (or should) employers make this vaccine mandatory? Join us to find out.
  • Empowering Plans: P96 - Election Aftermath – Where Things Stand
    November 13, 2020
    In this episode of the Empowering Plans Podcast, Ron Peck, Brady Bizarro, and Nick Bonds reunite to discuss their developing thoughts on the presidential election results. They speculate as to what moves a Biden administration can make on health care with a potentially Republican-controlled senate, and what effects those moves could have in the self-funded industry. They also discuss California v. Texas and try to anticipate how the Supreme Court might rule on the fate of the ACA. Lastly, they talk through the exciting news of a potentially viable coronavirus vaccine.
  • Empowering Plans: P95 - 2020 Election Results (So Far) – Our Takeaways
    November 9, 2020
    In this episode of Empowering Plans, Ron and Brady are joined by Attorney Nick Bonds to discuss the 2020 election results. For now, it looks like we will have a new president in 2021. What will that mean for the healthcare industry? If the Senate stays in Republican control, is a public option likely? Will Obamacare be replaced? What will happen to popular issues such as prescription drug reform and surprise billing bans? We are covering all of the angles and breaking down all of the possibilities.
  • Empowering Plans: P94 - The Final Debate & Election Predictions
    October 26, 2020
    In this episode of Empowering Plans, Brady is joined by Attorney Nick Bonds. They break down the final presidential debate of the campaign season, focusing in on the candidates’ healthcare plans. They discuss “Bidencare” as well as what would actually happen if the Affordable Care Act is finally found unconstitutional. To cap things off, they offer election predictions – which states will decide the election? Will Democrats take over the Senate? This is one October surprise you don’t want to miss!
  • Empowering Plans: P93 - Behind the Scenes – Town Halls, Nominees & Medicare-for-All
    October 19, 2020
    In this episode of the Empowering Plans podcast, Ron Peck and Brady Bizarro take you behind the scenes, avoiding the bright lights of presidential town halls and Supreme Court confirmation hearings. What is really going on? Is Medicare-for-All still a threat? Where is the Trump administration’s healthcare plan? How will a potential Justice Amy Cony Barrett rule on the Affordable Care Act case? Tune in to find out!
  • Empowering Plans: P92 - Healthcare on Stage & COVID-19 in the White House
    October 13, 2020
    In this episode, Ron Peck and Brady Bizarro guide you through a chaotic week for healthcare news. What did we learn (if anything) from the first presidential debate? With COVID-19 infecting the President and much of the West Wing, what can we learn from the President’s experimental treatment? Would self-funded plans cover this treatment? What impact could all of this have on the Affordable Care Act lawsuit? Join us to find out!
  • Empowering Plans: P91 - The Pandemic & The Employer Mandate
    September 24, 2020
    In this episode of the Empowering Plans podcast, Brady Bizarro is joined by Kelly Dempsey to discuss a particularly damaging impact of the pandemic that does not get much media attention: with many businesses forced to operate at reduced capacity, they still have to comply with the ACA's employer mandate. That can be very burdensome given falling revenues. What can be done by the regulators and by Congress? Find out in our latest podcast.
  • Empowering Plans: P90 - IRS Notice 2020-29, COVID-19 and Cafeteria Plans: Self-Funded Plans Beware!
    September 15, 2020
    The COVID-19 pandemic has brought about an unprecedented wave of federal legislation in a short period of time specifically aimed at regulating employer-sponsored group health plan coverage. Similarly, the Internal Revenue Service (IRS) has followed suit and released several formal Notices aimed at extending COVID-19 relief options to cafeteria plans. In the most recent notice issued by the IRS, however, IRS Notice 2020-29, there are certain provisions that impact employer-sponsored coverage. If adopted by a cafeteria plan sponsor that also sponsors a self-funded health plan, these provisions can result in significant cost liability for the plan and create issues for stop-loss reimbursement.
  • Empowering Plans: P89 - Healthcare Policy at the DNC/RNC
    September 2, 2020
    In this episode of Empowering Plans, Ron and Brady assess what we learned from the candidates on healthcare policy at the virtual Democratic and Republican national conventions. Over the course of two weeks, both parties showcased their platforms; one focused heavily on restoring the Affordable Care Act and a nationwide COVID-19 response, and the other on lowering prescription drug prices and covering all pre-existing conditions. What can our industry learn from the talking points? Join us as we cover all the angles and discuss what comes next as the presidential election draws ever closer.
  • Empowering Plans: P88 - SCOTUS & HHS – ICYMI
    August 3, 2020
    In this episode of the Empowering Plans podcast, Jen and Nick discuss significant developments in nondiscrimination regulations, and the implications for those in the self-funding industry. They talk through the evolution of Section 1557 of the ACA, the new final rule issued by HHS, the Supreme Court’s recent decision on Title VII of the Civil Rights Act, and the looming legal challenges as the health care field attempts to reconcile what we’re hearing from the Supreme Court and HHS. They piece together what all this means for employer-sponsored plans, and offer some advice as to how employers and plans should respond.
  • Empowering Plans: P87 - COVID-19’s Catch-22
    July 23, 2020
    In this episode of the Empowering Plans podcast, Ron and Brady discuss a Catch-22 emerging in the midst of the global pandemic - as more government intervention is needed to deal with COVID-19, calls for a public option and Medicare for All grow louder. Join them as they discuss this issue and other looming threats to the industry; from uncertainty over the ACA and out of control drug prices to the disruption of employment-based health insurance.
  • Empowering Plans: P86 - COVID, Floyd, and the Fight for Social Justice
    July 17, 2020
    In this special episode, Ron and Brady address recent events that has altered the world as we knew it in a matter of months, and in one notable case, in one day. The emergence of Covid-19, the resulting mandatory restrictions to daily life, and televised tragic death of Mr. George Floyd, an unarmed African American man, at the hands of law enforcement has altered our collective understanding of security and racial equality in the U.S. In a moment of time that has been compared to the Civil Rights Movement, our very own Philip Qualo, Chairperson of the Phia Diversity Inclusion Committee, joins us to provide his perspective on these issues and the importance for Americans to unite in the face of tragedy. For industry leaders who may be uncertain on how to support their workforce in this “cancel culture” era, we also share some of our own internal approaches we have adopted that have not only been well received, but actually celebrated by our staff and the industry as a whole. As racial disparities continue to persist in ...
  • Empowering Plans: P85 - Catching up with the Courts
    July 10, 2020
    Check out Phia Group's latest discussion about recent high-profile court cases that could shape our industry: from requiring hospitals to post their negotiated rates with insurers online to the Trump administration's latest action in the Supreme Court case.
  • Empowering Plans: P84 - Workers' Comp. & COVID-19 - Preparing for an Influx
    June 1, 2020
    In this episode, Brady Bizarro and Jennifer McCormick discuss the impact of COVID-19 on workers' compensation claims. How can we tell if employees were exposed at work? How should employers prepare for an influx in claims? What actions are state legislatures taking across the country to expand workers' compensation benefits for pandemic-related injuries? Our legal experts grapple with these questions and more.
  • Wicked Awesome Wins: Episode 1 – A Million Dollar Start
    May 6, 2020
    Today, we launch a new series harkening to our Boston roots - “Wicked Awesome Wins.” Here, we will showcase our staff and some of their most successful and noteworthy wins on behalf of our clients. Join Ron and Brady as they interview Attorney Robert Martinez and explore a case in which he secured a massive balance bill write-off from a hospital using some creative tactics.
  • Empowering Plans: P83 – Video Conferencing & the Risk to PHI
    April 27, 2020
    In this episode, Ron Peck and Brady Bizarro are joined by consulting attorney Nicholas Bonds. Nick describes the unique concerns facing covered entities and their business associates as more of us utilize video conferencing platforms while under quarantine. What steps should you take to keep PHI safe? Finally, Ron and Brady end on a high note, summarizing some of the positive COVID-19 news that has come of late.
  • Empowering Plans: P82 – COVID-19: Studies on Treatment Costs & Industry Impact
    April 13, 2020
    Join Attorneys Brady Bizarro and Jennifer McCormick as they discuss some of the latest studies on the potential cost of COVID-19 treatment for self-funded plans, the projected impact on employer-sponsored insurance, and how they think this pandemic could change the industry.
  • Empowering Plans: P81 – COVID-19: Provider & State Impact
    March 31, 2020
    In this public health emergency, the federal government is not the only entity taking significant action. Join attorneys Brady Bizarro and Kelly Dempsey as they dive into the unique responses we have seen from individual states and providers while evaluating their impact on the self-funded industry.
  • Empowering Plans: P80 – COVID-19: Latest Updates & Legislation
    March 19, 2020
    In this episode of Empowering Plans, Ron Peck and Brady Bizarro discuss the latest developments related to COVID-19, the impact on the self-funded industry, and review the contours of the Families First Coronavirus Response Act, which guarantees free coronavirus testing for all Americans as well as an expansion of paid sick days for a subset of workers.
  • Empowering Plans: P79 - COVID-19 Preparedness: What Self-Funded Plans Should Be Doing Right Now
    March 11, 2020
    In this special edition of Empowering Plans, Brady Bizarro and Jennifer McCormick discuss the recent outbreak of COVID-19 (coronavirus). Join them for their insight into how you should be preparing, what concerns you should have about your benefits documents, and how to navigate applicable law.
  • Empowering Plans: P78 – Debating the Debates
    March 6, 2020
    In this episode, Ron Peck and Brady Bizarro assess candidates’ (and EX-candidate’s) proposals, and what it all means for our industry.
  • Empowering Plans: P77 – Care Where? Care Everywhere!
    January 31, 2020
    In this episode, Adam and Ron interview industry legend, Ernie Clevenger, regarding CareHere, LLC, the future of consumer-centric medicine, technology – and most importantly – the MyHealthGuide newsletter!
  • Empowering Plans: P76 – Taking the Stage in 2020
    January 24, 2020
    In this episode, Ron Peck and Brady Bizarro discuss the first Democratic debate of 2020 and the latest ruling from a federal appeals court on Obamacare. Time could be running out, both for the ACA and for the candidates for president. You do not want to miss our take on these issues and more!
  • Empowering Plans: P75 – Free Health Benefits at Phia
    January 3, 2020
    We finally did it! Join Adam Russo and Ron Peck as they discuss the different tactics used to offer Phia's employees FREE health benefits! This is not a podcast that you can afford to miss.

Phia Podcasts

Empowering Plans Segment 29 - Disruption or Not?
  February 7, 2018, Podcasts By The Phia Group
In this episode, our hosts discuss the recent announcement that Amazon, Berkshire Hathaway and JPMorgan are looking to collaborate on “health care.”  Is this just a new way to supply medical goods, deliver care, or handle the entire exchange (including enrollment and payment)?  How can broker/advisors, plan administrators, and other members of the industry benefit from this change?  And who should be most concerned?  This and more await you in “Empowering Plans.”

Empowering Plans Segment 28 - Game-changers
  January 29, 2018, Podcasts By The Phia Group
This week, our hosts discuss Adam’s recent travels and review events.  We are not alone in our attitudes and desires to change the industry for the better, and now we have proof of that fact!  What ideas and concepts were shared with Adam, and how can we add fuel to the fire?

Empowering Plans Segment 27 - Mandate?  We don’t need no stinking mandate! 
  January 22, 2018, Podcasts By The Phia Group
In this episode, Adam, Ron, and regular co-hose – Brady Bizarro – address the new tax law, elimination of the individual mandate, and how it may impact benefit plans of all types.  In particular, they examine the psyche of low risk lives and ask the all-important question – how do we keep them enrolled without the mandate?

Empowering Plans Segment 26 - Lightning Strikes Twice – Top 2017 Issues Impacting 2018
  January 10, 2018, Podcasts By The Phia Group
In this episode, the “Phia Group Boys” freestyle as they share the issues they felt defined 2017 and are likely to impact 2018.  From taxes to law; partnerships to reform… nothing is safe from their analysis and we all benefit from their warnings!  This is an episode you cannot afford to miss.

Empowering Plans Segment 25 - Breaking Down the GOP Tax Bill and How It Affects You
  December 21, 2017, Podcasts By The Phia Group
In this special edition of the podcast, The Phia Group's CEO Adam Russo and Attorney Brady Bizarro discuss the new GOP tax bill in depth. Specifically, how does the bill affect employers? What does the repeal of the individual mandate mean for the self insured industry and for the future of Obamacare?

Empowering Plans Segment 24 - Protect Your ASA
  December 18, 2017, Podcasts By The Phia Group
In this episode, our hosts (including repeat guest host Vice President of Consulting, Attorney Jennifer McCormick) discuss the rising trend in stop-loss insurance being placed by entities other than the TPA, yet the TPA is held responsible if things go sour.  Listen in to see how everyone can proactively avoid issues from emerging.

Empowering Plans Segment 23 - Plans and Conspiracy
  December 6, 2017, Podcasts By The Phia Group
Bring your tin foil hats, folks!  With today's episode, our hosts (including guest host, VP of Consulting, Attorney Jennifer McCormick) discuss the recent news regarding CVS purchasing Aetna as well as a new opportunity to customize plan document reviews to address different levels of need.

Empowering Plans Segment 22 - The Biggest Threats to Self-Funding: A Lightning Round
  November 21, 2017, Podcasts By The Phia Group
In this episode, The Phia Group’s CEO, Adam Russo, Sr. VP, Ron Peck, and Attorney Brady Bizarro discuss the biggest threats to the self-funded industry. From expanded fiduciary liability to stop-loss denials to a real threat to the ACA’s individual mandate, our experts give their thoughts in a fast-paced discussion.

Empowering Plans Segment 21 - Planning for Stormy Seas Ahead
  November 3, 2017, Podcasts By The Phia Group
In this episode, Adam, Ron, and their guest star – VP of Consulting Jennifer McCormick, Esq. – discuss all of the many issues creating waves as it relates to benefit plan documents, and what steps we can all take to safely navigate those waters – including setting sail on The Phia Group Flagship Template!

Empowering Plans Segment 20 - Trumping Costs and Climbing the Hill
  October 19, 2017, Podcasts By The Phia Group
With this episode, Adam and Ron welcome back a fan favorite – guest star Brady Bizarro – and discuss the wild and crazy happenings in DC.  From contraceptives to cost containment; the impact of fully insured subsidies on self funded plans; and everything in between – this is one lively podcast you cannot afford to miss.

Empowering Plans Segment 19 - The Man with the Plan
  October 13, 2017, Podcasts By The Phia Group
In this episode Adam and Ron discuss the oft overlooked but – in their opinion – all important plan document.  From its purpose to best practices, they discuss why legal compliance, interaction with third parties, and cost containment efforts all start (and end) with the plan terms.  Bring a pen and paper – these tips cannot be missed.

Empowering Plans Segment 18 - Responsibility - Beyond the Contract
  September 28, 2017, Podcasts By The Phia Group
In this episode, Adam and Ron discuss trends impacting health plans, employers, and employees. While these issues, such as the opioid epidemic, may not seem like the biggest costs facing benefit plans today, the long term costs are real. More importantly, issues like these can be identified by examining claims data; but most administrators are not contractually responsible to do so. Adam and Ron discuss why these entities should consider adding such services to their offerings – despite not being the most impactful cost containment option or being a contractual responsibility of the administrator.

Empowering Plans Segment 17 - Cutting Out Conflict
  September 11, 2017, Podcasts By The Phia Group
When it comes to securing stop-loss, too many benefit plans think the ball is only in the stop loss carrier’s court.  Today, our hosts explain what plan administrators can do to cut out conflict and tie up loose ends before they suffer a costly loss.  Ensuring an ongoing and fruitful relationship between plans and stop loss tomorrow requires intensive work today.  Addressing these potential costly issues now will guarantee reimbursements are in the bag later.

Empowering Plans Segment 16 - In Reference to Reference Based Pricing
  August 21, 2017, Podcasts By The Phia Group
This week, Adam Russo and Ron Peck accept that an answer to the high cost of healthcare won’t be coming from D.C., and that health plan administrators (with the help of their partners and advisors) need to address the costs internally.  Amongst options to do just that, so-called “Reference Based Pricing” is a hot topic in our industry.  Join Ron and Adam as they pick apart this method for containing costs, identify the pros and cons of an “RBP” plan, and discuss options to customize such a program.

Empowering Plans Segment 15 - Stopping the Bleeding
  August 11, 2017, Podcasts By The Phia Group
This week, The Phia Group’s CEO, Adam Russo and Attorney Brady Bizarro interviewed Garrick Hunt, Phia’s Sales Executive, about some of the most common burdens self-funded employers are facing in our industry. From out-of-network claims to air ambulance to specialty drugs, we explore cost-containment strategies and discuss the potential compliance concerns for employers. Finally, we answer a question from our mail bag regarding best practices for handling overpayments.
Empowering Plans Segment 14 - Repeal & Replace Fails: What's Next?
  August 7, 2017, Podcasts By The Phia Group
This week, The Phia Group's CEO, Adam Russo, Sr. VP, Ron Peck, and Attorney Brady Bizarro discuss the dramatic events on Capitol Hill and the shocking failure of Senate Republicans to repeal and replace Obamacare. Despite this serious setback, Republicans are not ready to give up. We'll discuss the path forward.

Empowering Plans Segment 13 - Your Friendly Neighborhood Provider
  July 17, 2017, Podcasts By The Phia Group
Taking a positive view on the industry, Ron Peck, Jon Jablon and Andrew Silverio today share stories and examples of providers working with payers to preserve the private employer based group health plan industry.  From price transparency, to direct primary care, to medical tourism – providers that are willing to innovate and work with payers get their moment in the sun with this episode.

Empowering Plans Segment 12 - The Cost of Care
  July 10, 2017, Podcasts By The Phia Group
This week The Phia Group's CEO, Adam Russo and Sr. VP, Ron Peck, interviewed Attorney Jon Jablon - Director of Provider Relations,  regarding the seemingly increasing number of excessive charges being billed by providers to health plans, strategies to cut costs, and importantly - ways to work with providers rather than against them, in an effort to implement an arrangement that works for all involved.

Empowering Plans Segment 11 - The Senate Unveils its Repeal & Replace Bill
  June 22, 2017, Podcasts By The Phia Group
In this special edition of the Empowering Plans podcast, Sr. Vice President and General Counsel Ron Peck and Attorney Brady Bizarro give their initial thoughts on the Better Care Reconciliation Act. What is in this new bill? What does it mean for the self-funded industry? What is next for healthcare reform?

Empowering Plans Segment 10 - Plan Tales: The Good, Bad, and Really Bad
  June 19, 2017, Podcasts By The Phia Group
In this episode, Adam Russo and Ron Peck interview two key members of The Phia Group’s consulting division – Vice President of Consulting, Attorney Jennifer McCormick, and Product Developer, Kristin Spath.  These two have tales to tell, regarding their experiences helping clients with unusual questions, and transforming outlandish ideas into real benefit plan innovations.

Empowering Plans Segment 09 - In the Land of the Blind
  June 5, 2017, Podcasts By The Phia Group
The Congressional Budget Office (“CBO”) has released its assessment of the American Health Care Act (Version 2.0), and once again the focus seems to be on who will lose insurance, gain insurance, and change insurance.  Yet, as lawmakers stumble with blinders on, addressing only the matter of insurance, other important factors – such as the actual cost of care itself – remains conspicuously absent.

Empowering Plans Segment 08 - Healthcares? Alternative Provider Payment Programs
  May 22, 2017, Podcasts By The Phia Group
The Phia Group’s CEO, Adam Russo, and Sr. VP & General Counsel, Ron Peck, discuss movements within the healthcare provider community to change how they charge (and receive payment) for services rendered.  For better or worse, change is on the way!

Empowering Plans Segment 07 - The American Health Care Act
  May 8, 2017, Podcasts By The Phia Group
Repeal and replace, the ACA, the AHCA - what does it all mean? How does it affect us? What’s next? Join The Phia Group's CEO, Adam V. Russo, Sr. VP, Ron E. Peck, and Attorney Brady Bizarro as they discuss the American Health Care Act, which passed the House of Representatives on 05/04/2017.

Empowering Plans Segment 06 - An Employer Call to Action
April 25, 2017, Podcasts By The Phia Group
A podcast dedicated to employers. Our goal is to show employers what they can do to improve their health plan and plan performance, without relying on third parties. It’s time for employers to get into the game!

Empowering Plans Segment 05 - The AHCA Failed: Where To Next?
April 4, 2017, Podcasts By The Phia Group
Join The Phia Group's CEO, Adam V. Russo, Sr. VP, Ron E. Peck, and Attorney Brady Bizarro as they discuss the recent, stunning failure of the GOP's American Health Care Act, the most recent news and predictions on the effort to repeal and replace the ACA, and what this all means for the self-funded industry.


Empowering Plans Segment 04 - Attack of the Killer Savings
March 13, 2017, Podcasts By The Phia Group
Join The Phia Group's CEO, Adam V. Russo, and Sr. VP, Ron E. Peck, as they describe how The Phia Group identifies facilities that provide the best outcomes for the least cost, and encourage plan participants to visit those facilities.


Empowering Plans Segment 03 - The Journey Continues
February 28, 2017, Podcasts By The Phia Group
Once again The Phia Group’s CEO, Adam V. Russo, and Sr. VP, Ron E. Peck, delve into what makes their own company’s health benefit plan unique, and share tips employers (and those that service them) can use to improve their own plan’s performance.


Empowering Plans Segment 02 - The Next Episode
February 13, 2017, Podcasts By The Phia Group
In this second installment of The Phia Group's official podcast, our hosts begin sharing what makes their own health plan a source of savings for the employer and benefits employees love.


Empowering Plans Segment 01 - The Maiden Voyage
JANUARY 30, 2017, Podcasts By The Phia Group
Welcome to the maiden voyage of "Empowering Plans," a new Podcast by The Phia Group where our hosts will review the purpose of this new series of Podcasts, reveal what the next few episodes will be about, and open the forum to our partners for comments and ideas.