Phia Group Media

rss

Phia Group Media


Offer More for More!

On October 8, 2020
If and when private health benefits cannot compete with a public option on price, they will need to re-invent the industry. Learn how.

COVID-19 Impact on Self-Funded Health Plans

On September 29, 2020
A self-funded health plan protects many people over a long period, making it essential for employers to assess the financial effects of COVID. Learn more.

Empowering Plans: P91 - The Pandemic & The Employer Mandate

On 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.

Drug Pricing Still on the Ballot in 2020

On September 24, 2020
The cost of prescription drugs continues to be a source of financial pain for households, making drug pricing reform a critical election topic. Learn more.

Benefits on the Ballot – A Political Update for Health Benefits Professionals

On September 22, 2020
Election season is underway. The future of healthcare will be decided via the ballot box, court rooms, and congressional halls. Pandemic or no pandemic, the gears of democracy are turning and what happens now will have long term effects for us all. Join The Phia Group as they discuss the most important elections (including candidates’ positions on health), ongoing legal cases, and proposed laws. They will dissect each and provide you with not only thoughts on how they may impact us, but how we can best prepare for likely outcomes.

New Guidance on HIPAA – Using PHI to Contact Recovered COVID-19 Patients Regarding Plasma Donation

On September 21, 2020
Protected Health Information can be used to identify and contact individuals who have recovered from COVID to inform them about plasma donation. Read on.

Empowering Plans: P90 - IRS Notice 2020-29, COVID-19 and Cafeteria Plans: Self-Funded Plans Beware!

On 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.

An Overview of the Recent New York Federal Court Decision and its Potential Impact Moving Forward

On September 9, 2020
The State of New York sued the Department of Labor for several of the Families First Coronavirus Response Act provisions. Read about the court's ruling.

Empowering Plans: P89 - Healthcare Policy at the DNC/RNC

On 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.

Plan Mirroring: What Does It Really Mean?

On August 26, 2020
Plan mirroring provisions can be marketed to make a stop-loss policy airtight for the plan, but there is still the potential for a gap. Learn more!

HEALS vs. HEROES

On August 24, 2020
Many of the temporary COVID legislations are set to expire by the end of 2020. Will more economic aid be on the way? Learn more.

Conflicts Abound – Providers & Facilities Fight Back

On August 17, 2020
U.S. hospitals have lost over $200 billion from March to June as a result of canceled services due to the COVID-19 pandemic. In response, providers have changed their tactics. They are raising prices, appealing more denied claims, more aggressively fighting referenced-based pricing, and stepping up collections efforts. Now, more than ever, it is imperative for plans and their partners to be vigilant and protect their members and plan assets. Join The Phia Group’s team as they discuss these new aggressive tactics as well as the conflicts they are causing with networks and stop-loss.

Returning to Work Safely and Smartly. Who Bears the Cost?

On August 13, 2020
The rise in mandatory return-to-work COVID testing has led people to question who bears the cost of covering these tests? Read on to find out.

New Rules on Prescription Drug Importation Are Released – Or Are They?

On August 11, 2020
On July 4, 2020, an "Executive Order on Increasing Drug Importation to Lower Prices for American Patients" was issued. Is this a real step forward? Read on.

The Phia Group, LLC Announces the promotion of Nick Fitzsimmons as Senior Director of Provider Relations

On August 7, 2020
Nick Fitzsimmons’ cost-containment journey began with Global Excel Management in 1996, managing a team of over 50 employees comprised of negotiators and sales representatives. He also led the network utilization, negotiation strategies, and later rose to the ranks of senior executive leadership. “The Phia Group is a good fit for me as we they are all about innovation, which is what I am looking for.” stated Nick Fitzsimmons. “I want to be where the action is, and The Phia Group never sits still pursuing their deep commitment to lower the cost of healthcare.”