Phia Group

Final Rule on Association Health Plans and YOU: Phia's Take

On June 21, 2018
On Tuesday, June 19th, the Department of Labor issued a final rule on Association Health Plans. Supporters claim the rule will allow millions of Americans to access more affordable coverage options. Critics contend that it will reduce patient access and weaken the insurance markets, leading to increased costs for all. Join The Phia Group's legal team in this special edition webinar in which they will break down the final rule and explain the significant impact it is expected to have on the self-funded industry.

The Buck Stops…Where? Pointing Fingers in the Self-Funded Industry

On June 12, 2018
In a financial climate where saving money has to be made a top priority, so many entities within the insurance industry have fallen victim to someone trying to shift blame onto them. Regardless of fault, it’s in everyone’s best interests to work together to overcome issues rather than point fingers – but it’s not always that simple.

Empowering Plans: P44 - The Phia Group “MVP” Post-Mortem

On June 12, 2018
Tune in as our hosts recap the Phia Group MVP forum at Gillette Stadium, home of the New England Patriots. From insightful discussions to client feedback and amusing coincidences, this episode of Empowering Plans is a must-listen for attendees and enthusiasts alike.

Empowering Plans: P43 - A Debrief of SIIA’s Fly-In on the Hill

On June 1, 2018
Join Adam, Ron, and Brady as they share insights from their impactful trip to Washington, D.C. Hear about their participation in SIIA’s “Fly-In” event, where they engaged with elected officials on critical self-insurance/captive insurance matters. Discover how they championed self-funded health plans, TPAs, and advocated for the Senate's Self-Insurance Protection Act.

Empowering Plans: P42 - Eliminating the Noise

On May 29, 2018
In this episode, Adam, Ron, and Brady interview David Contorno, President of Lake Normal Benefits. They discuss emerging trends in the industry; from reference-based pricing to direct primary care. They also address the incentive problem and how HSAs are harming the health insurance industry.

Empowering Plans: P41 - The Case for Collusion (Continued)

On May 24, 2018
Join The Phia Group’s Sr. VP, Ron E. Peck, and healthcare attorney Brady C. Bizarro as they answer the questions that you asked during our webinar on PBMs, specialty drug prices, and lawsuits alleging fraud.

Empowering Plans: P40 - Reference Based Pricing - Yeah, You Know Me

On May 17, 2018
In this episode, The Phia Group chats once again with one of their Partners in Empowerment, Gregory S. Everett, President and CEO of Payer Compass. Greg addresses all of our hosts’ questions regarding reference based pricing, balance billing, the value of physician networks, and the future of RBP.

The Case for Collusion: How the Power Players May Have Defrauded Us All

On May 15, 2018
At long last, after a lengthy investigation, we are ready to present the allegations of collusion. It is alleged that powerful forces have been working together in a complex scheme to mislead us. To be clear, we are talking about Big Pharma and certain PBMs. A new class action lawsuit has been filed against CVS Health alleging that it knowingly colluded with PBMs to raise generic drug prices. The claim is that health plans and consumers alike have been overpaying for drugs. We have seen this playbook before. This time, however, there is potential for TPAs and their groups to join the lawsuit to recoup funds allegedly overpaid to CVS. Join The Phia Group’s Special Counsels for an hour as they share reports on this alleged fraudulent scheme and discuss the ways in which our industry can fight back and tackle the underlying problem of specialty drug prices.

Empowering Plans: P39 - Everything's Bigger In Texas!

On May 7, 2018
In this episode, our hosts interview Third Party Administrator, visionary, and industry expert – Caprock Healthplans’ own Executive Vice President, John Farnsley – as we review some of his recent talking points, cover where he thinks the industry is headed, and dissect the biggest issues he thinks will impact everyone involved.

Empowering Plans: P38 - A Labor of Love?

On April 24, 2018
In this episode, Adam, Ron, and Brady interview in-house specialist, VP of Consulting Attorney Jennifer McCormick, and discuss the many complicated issues surrounding surrogacy, and the costs for which benefit plans may be responsible. What can be denied? What must be paid? Why is this a threat? What can we do to avoid it, or at least minimize the risks? Listen and find out!

4 Horsemen of the Plan-pocalypse

On April 19, 2018
Nostradamus? Miss Cleo? The Phia Group? In a psychic feat of foresight, The Phia Group’s team has gazed into their crystal ball and identified four issues that may not presently be keeping you up at night, but will certainly be disturbing your slumber very soon. From being forced to pay for surrogate pregnancy and births, to the IRS actively issuing letters notifying employers of 2015 tax year penalties; from a new wave of fraud, errors, and abuse leading to heretofore unseen overpayments, to case law addressing the rights of plans to utilize reference based pricing – you’ve been warned! We predict this complimentary webinar will open your eyes. Miss this webinar at your own peril… You’ve been warned!

Empowering Plans: P37 - Arresting the Financial Serial Killers

On April 18, 2018
Today Adam and Ron interview the industry, and nationally, renown Dr. Keith Smith of the Surgery Center of Oklahoma. This pioneer of transparent pricing and forefather of the Free Market Medical Association waxes poetic regarding everything from issues with provider pricing, the status of medicine today, and his predictions for the future of health care. If you don’t think surgeons can offer a clear and transparent price for care before they provide the treatment is provided, listen to this episode and prepare to be shocked!

Empowering Plans: P36 - New Kids on the Block

On April 9, 2018
In this episode, Ron, Adam and Brady interview one member of our industry’s albeit too small youth movement. Our hosts discuss with Brian Olsen what we all can do to attract new interest, and talent, to the business of risk management and hopefully help our industry not only survive, but thrive.

The Phia Group's 2nd Quarter 2018 Newsletter

On April 5, 2018
The Phia Group is off to a great start in the second quarter of 2018! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.

Empowering Plans: P35 - Direct Primary Care – The Pot of Gold You’re Looking For

On April 4, 2018
In this episode, part of our Partners in Empowerment series, we interview Doctor Jeff Gold of Gold Direct Care (golddirectcare.com). Join us as we ask the questions you want answered regarding this innovative and interesting approach to “real” medical care.