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The Stacks – 3rd Quarter 2022 Newsletter | The Phia Group

On July 22, 2022
This is "The Stacks" from The Phia Group's 3rd Quarter 2022 Newsletter

Should Plans Better Address Mental Health Benefits? | The Phia Group

On July 22, 2022
In the wake of the COVID-19 pandemic, the government has announced that we are facing another crisis – one on mental health. Participants are clamoring for more access to mental health care than ever before. The COVID-19 pandemic only highlighted the lack of availability of mental health care in the US, including care that is covered by plans. Ron Peck, Chief Legal Officer, and attorney Kaitlyn MacLeod are here to talk about what plans are doing to address the mental health crisis and how mental health parity comes into play for plans, patients, and providers.

The Forum Redux

On July 21, 2022
After a three-year hiatus, The Phia Forum resumed on July 11th, exclusively geared toward Independent Consultation and Evaluation (“ICE”) clients, many of whom have been using Phia’s health care cost containment services for over two decades. During the two days of events, the first of which occurred at The Phia Group’s new office in Canton, Massachusetts, “ICE” clients enjoyed seminars highlighting enhancements to current services while learning how new developments in healthcare—and American legal landscape— will impact their businesses.

Supreme Decisions – A Proactive Approach for Health Plans to Dobbs and Marietta

On July 19, 2022
The U.S. Supreme Court may be in recess until October, but its landmark healthcare rulings over the past month continue to reverberate across the country and across our industry. These decisions will have strong implications for plan sponsors in particular and The Phia Group is here to explain how your health plan, and its administrators, may be affected by these momentous developments. Please join us as we delve into such current affairs (not to mention history in the making) from a unique healthcare cost containment perspective.

One Lesson We Must All Learn from Dobbs v. Jackson Women's Health Organization

On July 14, 2022
Many – from neighbors to the media – are buzzing about the Dobbs v. Jackson Women's Health Organization decision, handed down by the Supreme Court. Of course, many (most?) of those people discussing this case might not even know the name of the case; referring to it instead as the “Roe v. Wade” case, or the case that overturned Roe.

Stop Loss and Subrogation | The Phia Group

On July 8, 2022
In this episode of the Empowering Plans podcast, attorneys Chris Aguiar and Cindy Merrell discuss potential obligations of health plans to their stop-loss carriers in the event of a recovery through subrogation.

Book of Russo: Chapter 2

On July 6, 2022
In the latest episode of The Book of Russo, tune in to find out what The Phia Group’s CEO, Adam Russo, and guest host, Dr. Marty Makary, have to say about price transparency, price gouging, and who is typically responsible for the high cost of care.

The Dobbs Case – What Group Health Plans and Employers Need to Know | The Phia Group

On July 1, 2022
On June 24th, the U.S. Supreme Court handed down one of its most controversial and impactful decisions in half a century by overturning Roe v. Wade. This decision has sweeping implications for group health plans. In this special edition of the Empowering Plans podcast, The Phia Group’s Chief Legal Officer, Ron Peck, is joined by attorneys Jen McCormick and Brady Bizarro to unpack the Court’s opinion, what’s likely to happen next, and most importantly, how health plans should respond to this historic ruling.

U.S. Supreme Court Rules on Dialysis Carve-outs | The Phia Group

On June 24, 2022
In this episode of the Empowering Plans podcast, attorneys Brady Bizarro and Andrew Silverio break down the Supreme Court’s ruling in the Marietta case on dialysis carve-outs. What does the ruling mean for self-funded plans that wish to carve out dialysis claims? Our experts dig deep into the legal analysis and explain how plans can stay within the parameters of this decision. Finally, they address important points raised by the dissent and consider the broader impact on the industry.

The Book of Russo: Chapter 1

On June 17, 2022
In the first episode of The Book of Russo, tune in to find out what The Phia Group’s CEO, Adam Russo, has to say about the new podcast series, healthcare transparency, and so much more.

Transparency in Coverage Compliance? | The Phia Group

On June 16, 2022
It’s Almost July 1st – Are You Ready for Transparency in Coverage Compliance?

Breaking Down Breaks in Service | The Phia Group

On June 8, 2022
In this episode of Empowering Plans, join Kelly Dempsey and Kevin Brady as they discuss the important considerations surrounding rehired employees and breaks in service. This dynamic duo covers a number of items including the 13/26 week rule, the rule parity, and the need to add plan provisions which account for these situations.

A Love Letter to Plaintiffs’ Attorneys Everywhere

On June 7, 2022
You know, in the modern information and technological age it is rather easy to forget that we are not in Kansas, anymore, i.e. the 1990s; anything you say or do on the internet can be accessed by the masses, can and will be used against you, and it will never go away. On the same token, it is important to understand the intended audience and perspective of the speaker and even perhaps get to know the person before you judge them based on what I, personally, would consider a (negligent, at worst) throw away phrase.

The Baby Formula Shortage and Preventive Care

On May 31, 2022
The baby formula shortage in the United States has been worsening for months. Our country’s supply was already squeezed by a perfect storm of pandemic-related supply chain issues and inflation costs. Then, with the detection of dangerous bacteria leading to the sickening and death of several infants, Abbott Nutrition shut down its Michigan plant in February – a plant that formerly supplied nearly one-fifth of all the baby formula in the country.

The Benefits of Direct Primary Care | The Phia Group

On May 27, 2022
In this episode of The Phia Group’s Empowering Plans podcast, attorneys Nick Bonds and Corey Crigger discuss Direct Primary Care (DPC). This was a hot topic at a recent conference Nick attended and a subject near and dear to Corey. Join them as they discuss the benefits and practical issues to consider when looking at this tremendous option for augmenting your employee benefits plan.