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Empowering Plans: P112 – Healthcare Subrogation, The Comeback! Post-Covid Edition

On 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!

On 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!

On 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

On 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

On 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

On 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

On 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

On 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

On 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

On 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

On 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: P100 – President Biden's First 100 Days - What to Expect

On 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!

On 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

On 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

On 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.