Phia Group

Plans For The Future

On September 24, 2014
Join The Phia Group’s CEO, Adam V. Russo, Esq., as he and Senior Vice President and General Counsel (Ron E. Peck, Esq.), Vice President of Consulting (Jennifer McCormick, Esq.), and a team of expert plan drafting specialists discuss the Phia Document Management system, innovative plan design, and why it is especially relevant in light of changes we predict all plan documents will be required to undergo in the coming years.

2nd Quarter Newsletter 2014

On July 23, 2014
What a spring we have had here at The Phia Group. From travelling across the country speaking at various venues, hosting our own Phia Forum a few weeks ago, to our new service offerings; we have been extremely busy here at the home office. Now that the summer is here, you would expect that things would slow down but that’s not the case at all. As the temperature rises, so does our work load, as the number of issues facing the self insured industry continues to grow. Who said that health insurance is boring!?!?!?

"Dude, Where's My Subro?" - Integrating Subrogation - Sought by Employers & Loved by Administrators

On May 15, 2014
As plan sponsors and administrators examine their benefit plans in light of recent legal upheaval, now is our chance to implement important cost containment mechanisms.

1st Quarter Newsletter 2014

On May 8, 2014
Well… “ObamaCare” is here, and so are we. The sun continues to rise in the east, and set in the west; and business goes on. Some of you have reaped the benefits of change, while others have suffered; but the reality is that for most of the industry, not much has changed.

Taking It To The Limit - Accurately Identifying and Taking Advantage of Network Contractual Boundaries

On March 27, 2014
While it is true that some network contracts restrict a benefit plan’s ability to audit claims – or as is more often the case, simply prohibits the benefit plan from doing anything with the information so identified; some contracts apply unrealistic deadlines and still others contractually compel payment of claims otherwise excluded by the plan document… There are key provisions plan administrators can use to limit or eliminate the negative impact of such provisions.

To Pay or Not To Pay - Examining Exclusions, Definitions, and Other Things That Really Matter

On February 12, 2014
Whether you are a plan administrator or claims processor trying to determine eligibility of a claim, or a stop-loss carrier trying to determine whether a submission is reimbursable, how applicable provisions apply to specific facts make all the difference.

4th Quarter Newsletter 2013

On January 13, 2014
2014 is now upon us and I can’t imagine it being any crazier, both personally and professionally, than 2013; of course, I’ll probably say the same thing next year! Thanks to your concerns and needs, we have many exciting new opportunities coming your way this year. 2014 will be the year of self funding where we see the industry grow to heights never seen before. With growth comes many potential pit falls, as always, we are here to get you through them. It will be interesting to see how Obamacare fares in 2014 and what it does to the employer based healthcare system. I am optimistic that things will work out for us in the end and that we will be stronger for it. Just remember that through all the chaos, The Phia Group will be your one stop for all of your cost containment and consulting needs. 2013 was great – the prospects are even brighter for this year!!!! Happy reading!

A Look Behind, A Look Ahead, Lessons Learned in 2013, and Predictions for the Coming Year

On January 8, 2014
Join The Phia Group as we review the biggest issues dealt with in 2013, the lessons learned, and what we expect to be dealing with in the year to come.

For the Fourth Year in a Row, The Phia Group, LLC has been named to Inc. Magazine's List of America's Fastest Growing Private Companies

On December 14, 2013
For the Fourth Year in a Row, The Phia Group, LLC has been named to Inc. Magazine's List of America's Fastest Growing Private Companies

The Phia Group's Adam Russo Fires at WSJ Article 'When Insurance Fails...'

On December 14, 2013
MyHealthGuide Source: Adam V. Russo, CEO, The Phia Group, 2/6/2012

What You Don't Know Can Hurt You!

On November 20, 2013
As with the Loch Ness Monster and Bigfoot, we have all long believed that Provider Network Agreements exist solely in myth alone, never to be seen by human eyes… until now! From legend to reality; The Phia Group has obtained many provider network agreements, gone through them with a fine tooth comb, and present to you their expert analysis.

3rd Quarter Newsletter 2013

On October 28, 2013
Ill be honest with all of you – did I think back in 1999 when I formed The Phia Group with my college buddy Mike Branco that this company would become what it is today? The answer is I had no idea what I expected this company to become. I was just doing something that I loved and thought if I could make a living doing it then that would be “wicked” cool. We have blown away any expectations we have 14 years ago and the fact remains we have much more to do.

2014 & Beyond - Reacting to PPACA's Volatile Evolution

On September 25, 2013
Health Insurance Reform (aka Obamacare, aka PPACA, aka Healthcare Reform) has not enjoyed a smooth implementation. In fact, its birth has been quite turbulent. Are you surprised?

2nd Quarter Newsletter 2013

On August 28, 2013
It’s been a crazy few months for the health insurance industry as you all know. All I can tell you is that we are here for you with your questions and needs. We attempt to stay ahead of the curve and I can tell you confidently that more changes are ahead, so be sure to tune into our webinars over the next few months. As always, thank you for your support of The Phia Group. We promise to keep you informed so you can protect yourselves and your clients. Happy reading.

What's Good for the Goose is Good for the Gander? Analyzing BUCA-ASO PPO Agreements!

On August 20, 2013
Join The Phia Group’s CEO – Adam V. Russo, Esq. – as well as its Sr. VP & General Counsel – Ron E. Peck, Esq. – as they dissect contractual terms existing between carriers and their network providers, and share the realization that they know exactly what is important to you.