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The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
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In-Network vs Out-of-Network Claims
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Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
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In-Network vs Out-of-Network Claims
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Phia Group
Phia Group Media
Struggling to Breathe | The Global Medical Oxygen Crisis
On February 26, 2025
Explore the global crisis of medical oxygen access, highlighting disparities in availability in low-income countries & its impact on patient care.
Journavx | A New Non-Opioid Solution for Pain Management
On February 11, 2025
Learn about Journavx, a groundbreaking non-opioid analgesic designed to treat acute pain, & its implications for patients seeking safer pain management options.
House Republicans Propose Changes to HSA-Qualified HDHPs
On January 24, 2025
Learn about the implications of H.R. 5688, which aims to enable individuals to contribute to HSAs while using direct primary care, benefiting those with HDHPs.
The Invisible Truth of Healthcare | Cost vs. Quality
On January 24, 2025
Explore the hidden truths of healthcare costs and quality, highlighting the disparities in pricing and the need for patients to become informed consumers.
The Phia Group's Role in Transforming Healthcare with AI
On January 13, 2025
Learn about the merger of The Phia Group & Machinify, focusing on innovative AI technology that streamlines the healthcare claims lifecycle & improves outcomes.
An App for What Ails You
On January 13, 2025
This is the future presaged by “PDURS” (Prescription Drug Use-Related Software). One of the sillier acronyms to grace the healthcare industry in recent memory, PDURS are defined by the FSDA as “software disseminated by or on behalf of a drug sponsor that accompanies one or more of the sponsor’s prescription drugs, including biological drug products.” Essentially, most patients will encounter this software as an app, paired with marquee prescription drugs, that is designed to “assist” patients and healthcare providers in the prescription and use of the medication.
Wesco v. BCBSM | Understanding Implications for Healthcare
On January 8, 2025
Explore the implications of the Wesco v. BCBSM lawsuit, focusing on the impact of cross-plan offsetting on healthcare costs and the rights of self-funded plans.
No Extension for Telehealth Safe Harbor in HDHPs for 2025
On January 6, 2025
The telehealth services safe harbor for HSA-qualified HDHPs has expired as of January 1, 2025. Learn about the implications for plan sponsors and participants.
Anthem Blue Cross Blue Shield Reverses Anesthesia Policy
On December 26, 2024
Discover Anthem Blue Cross Blue Shield's recent reversal on anesthesia care coverage, which protects patients from unexpected medical bills during procedures.
Health Disparities in Appalachia After Hurricane Helene
On December 2, 2024
Explore the widening health disparities in Appalachia following Hurricane Helene, highlighting the challenges faced by residents and healthcare facilities.
Understanding New MHPAEA Requirements for Compliance
On November 20, 2024
Understand the implications of the new MHPAEA rules, including NQTL requirements & the importance of conducting comparative analyses for mental health benefits.
Having NSA Problems? Better Call The Phia Group
On October 31, 2024
The Independent Dispute Resolution (“IDR”) process was designed to be a cornerstone of the No Surprises Act (“NSA”), a means for resolving claims for payment for out-of-network items and services and a vital mechanism for buttressing the NSA’s protection for plan members against potentially devastating balance billing expenses. Unfortunately, since the NSA took effect on January 1, 2022, things have gone awry on many fronts.
The Future of Birth Control in America
On October 28, 2024
Since the US Supreme Court decided to undo nationwide abortion rights in summer 2022, women’s reproductive rights has arguably been the most pressing topic in healthcare. Naturally, as we enter the final stretch of election season – as well as the Biden administration – the all-important, polarizing matter has resurfaced.
Cobenfy: A Game-Changer for Schizophrenia Treatment Costs
On October 9, 2024
Cobenfy is a promising new drug for schizophrenia. Find out about its cost, insurance coverage, and how it compares to existing treatment options.
Healthcare and Politics… Ugh. Old News!
On September 27, 2024
Donald Trump recently stated that while he will never give up on repealing the ACA, he also said that he was not running on terminating the ACA. This is likely a smart decision, given that a recent Kaiser Family Foundation (KFF) poll revealed that for Republican voters, repealing Obamacare was an important issue for a very small percent of respondents. Is this demonstrative of a more widespread loss of interest in health care as a political talking point?
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