Phia Group

Call Me Corny: Discussion on Healthcare

On February 6, 2017
Healthcare in our country is too expensive. The money is being spread around, and wasted. Is there greed? Sure. But there is also inefficiency.

10 Things to Know About Athena Health

On February 6, 2017
Here are 10 things to know about Watertown, Mass.-based athena health, one of the largest publicly traded companies in the world providing medical record

As language shifts to ACA ‘repair,’ Pence reaffirms commitment to ‘repeal and replace’

On February 6, 2017
Although some Republican lawmakers have begun to discuss a more tempered goal of “repairing” the ACA instead of tearing it down, Vice President Mike Pence on Thursday said the Trump administration is still committed to repealing and replacing it

I Have A Bridge to Sell You- Healthcare Discussion

On February 6, 2017
As long as we make decisions based on extremes intended to sell headlines or keep an elected post, we’re missing the point.

ACA Section 1557 – Federal Court Injunctions, Executive Orders, Repeal/Replace, Oh my!

On February 3, 2017
A federal court injunction related to 1557 was granted on 12/31/16, temporarily stopping portions of the rule—discrimination on the basis of gender identity & termination of pregnancy—from becoming effective.

Massachusetts Braces for ACA Repeal

On February 3, 2017
A number of state lawmakers, consultants, and industry experts offered their opinions on how the Commonwealth could move forward in a post-ACA world.

Enough to be Dangerous- Benefit Plans discussion

On February 2, 2017
One issue I’ve been running into relates to attorneys that “know” benefit plans are required by law to provide a notification of adverse benefit determination any time they pay less than the charged amount.

Change Often Starts with a Conversation

On February 2, 2017
My wife, quite literally, has no idea what I do for a living. When friends and family ask, she normally replies, “…he does something with subrogation…and it involves health insurance.”

An Unlikely Recovery

On February 2, 2017
The Phia Group’s overpayment specialists received two claims – same provider, same patient – totaling over $760,000. The reason for the refund was that the original repricing was incorrect.

Phia Group Consulting Is Always Ready to Help

On February 1, 2017
Phia is continuously searching for ways to evolve and improve the plan drafting process for our clients, including notification of key compliance changes.

Relationships Matter in Resolving Claims Disputes

On February 1, 2017
Phia received a $60K claim caused by a serious fall while the member was hiking. The member was taken to the nearest hospital which was out of network, and where the client had a history of 20% discounts.

For Some, the Affordable Care Act Is a Lifesaver. For Others, a Burden.

On February 1, 2017
After President Trump and the Republican-controlled Congress vowed to repeal and replace the Affordable Care Act, millions of Americans have been left wondering about the future of their health care.

Diabetes patients sue 3 drug companies over alleged fraudulent insulin pricing

On February 1, 2017
Eleven diabetes patients are suing several drug companies for alleged collusion on insulin pricing. Read More.