Phia Group

The Stacks – 4th Quarter 2022 Newsletter

On October 19, 2022
This is "The Stacks" from The Phia Group's 4th Quarter 2022 Newsletter

Empowering Plans: P146 - A Possible Threat to a Plan’s Discretionary Authority

On October 14, 2022
Currently before the Senate, a new bill has been announced that would ban all references to a plan administrator’s discretionary authority, as well as remove all deference courts give to their claims determinations. Regardless of whether this bill will be passed, what does this and similar rhetoric say about public and political attitudes towards self-funded health plans? Ron Peck, Chief Legal Officer, and attorney Kaitlyn MacLeod are here to talk about this and more. Enjoy!

Book of Russo: Chapter 4

On September 22, 2022
In the latest episode of The Book of Russo, tune in to find out what The Phia Group’s CEO, Adam Russo, and guest host, Dr. Jeffery Gold, have to say about Direct Primary Care and why Dr. Gold decided to open his own practice in Massachusetts.

Empowering Plans: P144 - The Latest Developments Involving Patient Assistance Programs

On September 16, 2022
In this episode of the Empowering Plans podcast, attorneys Brady Bizarro and Andrew Silverio discuss patient assistance programs. They explain what these programs are, how they have been utilized in the industry, and the latest regulations and litigation surrounding them. Tune in to find out what plan sponsors need to know!

A Prescription for Success? The Unknown Impact of Recent Legislation on Prescription Expenses

On September 15, 2022
The Inflation Reduction Act, signed into law by President Biden last month, includes provisions to lower prescription drug prices for Medicare recipients. But what about most Americans who are on employer-sponsored plans? Could they be adversely affected by pharma companies potentially elevating prices in response? In its next webinar, The Phia Group takes a deeper dive into the residual effects of this landmark act on your plan—as well as how the recent Johnson & Johnson lawsuit involving patient assistance programs may heighten the risk for companies using such PAPs. For good measure, Phia’s panel of experts will also provide an update on final rules just released regarding the No Surprises Act.

Empowering Plans: P143 - Is Wrongful Death the Death of a Subrogation Claim?

On September 2, 2022
In this installment of the Empowering Plans podcast, attorneys Chris Aguiar and Cindy Merrell discuss the murky waters of wrongful death and healthcare subrogation claims.

Book of Russo: Chapter 3

On August 26, 2022
In the latest episode of The Book of Russo, tune in to find out what The Phia Group’s CEO, Adam Russo, and guest host, Ernie Clevenger, have to say about Ernie’s famous Saturday night newsletter, CareHere, and much more.

Empowering Plans: P142 - The (Healthcare) Times They Are A-Changin’

On August 19, 2022
In this installment of The Empowering Plans podcast, attorneys Nick Bonds and Corey Crigger discuss two recent shifts in the healthcare landscape: The FDA’s stance on OTC hearing aids and recent developments showing that not all debt is created equal, especially medical debt.

Empowering Plans: P141 - Do You Mind (…The Gap)?!

On August 5, 2022
In this installment of The Phia Group’s Empowering Plans podcast, attorneys Jen McCormick and Jon Jablon discuss the age-old topic of stop-loss gaps, with a modern twist. Emerging law and industry trends color so many decisions that self-funded plans and those who service them must make on a daily basis, and one player that sometimes gets forgotten about is stop-loss. Since stop-loss coverage expectations don’t always align with reality, health plans, TPAs, and brokers need to be proactive to find potential gaps and try to rectify them before they evolve into real problems.

Louisville Business First Names The Phia Group, LLC a 2022 Best Place to Work in Greater Louisville

On July 29, 2022
Read how The Phia Group was named the best place to work in greater Louisville. Learn more about The Phia Group and how they empower health plans.

The Phia Group's 3rd Quarter 2022 Newsletter

On July 28, 2022
The Phia Group is off to a great start in the third quarter of 2022! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.

The Stacks – 3rd Quarter 2022 Newsletter | The Phia Group

On July 22, 2022
This is "The Stacks" from The Phia Group's 3rd Quarter 2022 Newsletter

Should Plans Better Address Mental Health Benefits? | The Phia Group

On July 22, 2022
In the wake of the COVID-19 pandemic, the government has announced that we are facing another crisis – one on mental health. Participants are clamoring for more access to mental health care than ever before. The COVID-19 pandemic only highlighted the lack of availability of mental health care in the US, including care that is covered by plans. Ron Peck, Chief Legal Officer, and attorney Kaitlyn MacLeod are here to talk about what plans are doing to address the mental health crisis and how mental health parity comes into play for plans, patients, and providers.

Supreme Decisions – A Proactive Approach for Health Plans to Dobbs and Marietta

On July 19, 2022
The U.S. Supreme Court may be in recess until October, but its landmark healthcare rulings over the past month continue to reverberate across the country and across our industry. These decisions will have strong implications for plan sponsors in particular and The Phia Group is here to explain how your health plan, and its administrators, may be affected by these momentous developments. Please join us as we delve into such current affairs (not to mention history in the making) from a unique healthcare cost containment perspective.

Stop Loss and Subrogation | The Phia Group

On July 8, 2022
In this episode of the Empowering Plans podcast, attorneys Chris Aguiar and Cindy Merrell discuss potential obligations of health plans to their stop-loss carriers in the event of a recovery through subrogation.