Phia Group

Empowering Plans: P78 – Debating the Debates

On 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.

Special Rules Apply for Military Treatment Facilities

On February 27, 2020
The Military Treatment Facility has powerful tools at its disposal to seek payments from plans. Learn more about this type unique of the provider.

EMPLOYERS BEWARE: Handling Employee Absences Resulting from Coronavirus Quarantine

On February 19, 2020
Employers could be held liable when terminating an employee due to absences as a result of isolation and quarantine measures. Learn more.

New Insight on Provider Surprise Billing

On February 17, 2020
Many states have enacted protections against balance billing and surprise billing, however, these state laws have limited applicability. Learn more.

Double Dose: Revisiting Rx Drugs and Answering Your Questions

On February 12, 2020
Last month, we discussed some disturbing trends surrounding prescription drugs, and what they mean for self-funding. The overwhelming feedback we received after last month’s webinar was that you, our viewers, want more information on this particular topic – so we’re back with a sequel! Join The Phia Group’s legal team as they take a deeper dive on the topic of Rx drugs, tackle the difficult questions asked in last month’s webinar, and help plans protect themselves while staying ahead of the curve.

A Simple Mistake with Big Consequences: Is Your HDHP Actually HSA-Qualified?

On February 5, 2020
An HDHP must meet certain criteria to allow individuals enrolled to contribute to Health Savings Accounts (HSA). Learn about the specific criteria.

Empowering Plans: P77 – Care Where? Care Everywhere!

On 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!

More Thoughts on The Cigna Racketeering Case

On January 28, 2020
If Cigna truly issued insufficient EOBs and didn’t follow applicable regulations, the providers have a good case that appeals are futile. Read more.

Empowering Plans: P76 – Taking the Stage in 2020

On 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!

I Got a Fever, and the Only Prescription is More Transparency

On January 23, 2020
A key part of the Administration's strategy to reduce health care costs involves increasing transparency in the healthcare industry. Learn More.

A Dose of Savings – Addressing Drugs, PBMs, and the Controversies Surrounding Them

On January 21, 2020
Whether you are a fan of politics, profits, or identifying savings, you are likely keeping a close eye on pharmaceuticals. From life-preserving medications that have been around for decades (and whose price increases continue to outpace the national GDP) to specialty drugs that are inches away from FDA approval (and bankrupting most benefit plans), the cost tied to drugs is a hot topic. While congressional efforts to curb rising costs have stalled, pharmaceutical companies, pharmacy benefit managers (PBMs), and politicians continue to look for someone else to blame. Join The Phia Group as they discuss the Rx trends to watch for, the biggest threats to health plans, cost-containment strategies to implement, political efforts underway, and an injection of information you can’t do without.

Case to Watch – Advanced Gynecology and Laparoscopy of North Jersey, P.C. et al v. CIGNA

On January 20, 2020
Providers are challenging the validity of CIGNA’s reference-based pricing, which guides the payments of many self-funded plans around NJ. Read More.

The Phia Group's 1st Quarter 2020 Newsletter

On January 16, 2020
The Phia Group is off to a great start in the first quarter of 2020! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.

The Stacks – 1st Quarter 2020

On January 14, 2020
This is “The Stacks” from The Phia Group’s 1st Quarter 2020 Newsletter.

ACA PCORI FEES ARE BACK

On January 14, 2020
The Patient-Centered Outcomes Research Institute (PCORI) fee was established as a part of the ACA to fund medical research. Learn more about ACA fees.