Phia Group

Care Empowered Pricing | Future of Reference-Based Pricing

On January 30, 2025
Explore the benefits of Care Empowered Pricing, delivering tailored support for TPAs and health plans to ensure high-quality care and fair pricing for members.

Empowering Plans: P210 – Mental Health Parity: New Year, New Rules, New Lawsuits

On January 30, 2025
Attorneys Jen McCormick and Nick Bonds ring in the Lunar New Year by breaking down the ERIC v. HHS lawsuit in which an industry advocate challenged the federal regulators’ new Final Rules enforcing the MHPAEA and mental health parity rules. Could this case blaze a new path for challenging agency actions in a post-Chevron Doctrine world? Join us as we discuss the potential implications for group health plans.

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.

Fiduciary Challenges and Risk Exposure Growing for Plans in 2025 – What to Know, What to Do

On January 21, 2025
It must be January. Gyms are packed. W-2s are hitting the mail. Christmas trees are coming down. And the healthcare industry is bracing for new regulatory developments in the year ahead. While the new administration may indeed usher in sweeping healthcare changes, other pressing industry matters such as fiduciary liability and lawsuits – particularly cases involving Johnson & Johnson, Wells Fargo, and Blue Cross Blue Shield, warrant particularly close attention. Join The Phia Group’s roundtable of experts as they discuss potential changes that may be afoot in the new year – and ways that you can be best prepared. Just like fiduciary liability issues and lawsuits, this webinar will be impossible to ignore.

Empowering Plans: P209 – 2025 Healthcare Hot Takes

On January 16, 2025
It’s a new year, and a new type of Empowering Plans podcast! In a world full of talking heads and 2-minute news cycles, hot takes have become the norm. This is true from mainstream news media to sports talk radio. Ron Peck and Corey Crigger throw their hat in the hot take ring by speculating on what some of the biggest news stories could be in 2025. From AI to RFK Jr, join Ron and Corey as they gaze into the crystal ball and make their bold predictions of what we will be talking about all year.

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.

The Phia Group's 1st Quarter 2025 Newsletter

On January 9, 2025
The Phia Group is off to a great start in the first quarter of 2025! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.

The Phia Group Announces the Promotion of John Blaney to Executive Vice President of Transformation and Recovery Services

On January 9, 2025
In its ongoing efforts to be a trailblazer in the healthcare cost containment field, The Phia Group has promoted John Blaney to Executive Vice President of Transformation and Recovery Services. In his new role, Mr. Blaney will spearhead all recovery functions, including subrogation, overpayment, and other cost containment opportunities. Mr. Blaney will leverage his decades of experience serving as an executive in the healthcare field toward streamlining operations as well as automating department-wide processes, all of which will help optimize services offered to Phia’s clients. The Phia Group’s successful growth initiatives and major investments in technology have enabled us to identify more recovery opportunities and deliver higher recoveries to our clients than any other recovery vendor in the market.

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.

Empowering Plans: P208 – The Evolution of the Birth Control Benefits Mandate

On January 2, 2025
On today’s episode of the Empowering Plans podcast series, attorneys Kendall Jackson and Brian O’Hara discuss the Biden administration’s decision to withdraw proposed rules that would have expanded the birth control benefits mandate. Join us in our discussion of the mandate and how it has evolved throughout the Obama, Trump, and Biden administrations.

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.

Empowering Plans: P207 – Denied Claims Beyond the Headlines

On December 19, 2024
On this episode of the Empowering Plans podcast series, attorneys Corey Crigger and Cindy Merrell discuss the murder of UnitedHealthcare’s CEO, which fueled public outcry over denied claims.