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The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
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Top Five Advantages of RBP Plans
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Reference-Based Pricing Explained
Hospital Price Transparency Guide
Balance-Billing: What Patients Need To Know
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)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
AI in Healthcare
Understanding Prescription Medication for Weight Loss
Webinars
Newsletters
Blog
Podcasts
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FAQ - Subrogation & Reimbursement
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Industry Articles
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Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Reference-Based Pricing Explained
Hospital Price Transparency Guide
Balance-Billing: What Patients Need To Know
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)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
AI in Healthcare
Understanding Prescription Medication for Weight Loss
Webinars
Newsletters
Blog
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Industry Terms
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Phia Group
Phia Group Media
Tales From the Plan: Episode 5 – Translating Phia’s Benefit Plan
On October 24, 2019
Join Adam Russo and Ron Peck as they interview The Phia Group’s Human Resources Manager, Linda Pestana. Learn how Linda was able to navigate our health plan and negotiate with a provider to make her son’s hearing aids affordable. Additionally, Linda discusses another story regarding Phia’s health plan, and how it has completely erased the out-of-pocket expense for a medication another employee previously paid $800.00 a month for.
2020 Forecast - Storm Clouds, Clear Skies, and the Issues that will Dominate Next Year
On October 23, 2019
2020 is almost here, and The Phia Group continues its webinar series dedicated to preparing you for renewals, and the coming year. Join the team for this free webinar as they discuss the issues that impacted 2019, and are poised to dominate 2020, including (but not limited to) Mental Health Parity, Paid Leave, Health Insurance Taxes, Drug Prices, Regulations, and Coupons.
Tales From the Plan: Episode 4 - A Vision for Savings
On September 23, 2019
Join Adam, Pat, and this episode’s guest – Michael Vaz – to hear from a valued employee, whose experience in the industry and as a consumer of healthcare will open your eyes and help you appreciate how much difference a plan can make in a person’s life. Containing costs and rewarding employees – it’s a win-win.
Empowering Plans: P71 – Politics! Politics! Politics!
On September 18, 2019
Brady and Ron do what they do best, say the things you are thinking! This time, they wax poetic about Obamacare, the state of health care versus health insurance, and the political environment as we move toward the 2020 election.
2020 Renewal Season - Decisions Today, Uncertain Tomorrow
On September 17, 2019
It’s plan renewal season, and we find ourselves making decisions that will define how plans will operate over the next year. This is no easy task! First, we confront known issues and hurdles – such as increasing drug costs, regulatory crackdowns, and aggressive providers – looming before us. Additionally, despite the need to make these decisions now, the future is more uncertain than ever before. Between litigation challenging the constitutionality of the ACA and an already wild 2020 Presidential election, no one truly knows what next year will look like. How can we make decisions today at renewal, that address the issues of tomorrow – both known and unknown? Join The Phia Group for a “can’t miss” review of important issues impacting plan renewals, address known roadblocks, and perform an assessment of the candidates’ positions on healthcare – with an eye toward what we should be doing today to prepare for an uncertain tomorrow.
Faces of Phia: Episode 16 - Crunching Numbers with Desmond Campbell
On September 4, 2019
Join Ron Peck as he interviews Desmond Campbell; the man, the myth, the legend. Desmond has spent time crunching numbers over the past 4 years – first for clients, now for The Phia Group. A man with experience elsewhere in the industry, Desmond will share what brought him to The Phia Group, and what keeps him here.
Back to School: 2020 Renewals
On August 21, 2019
As players in the self-funded industry have found out the hard way, keeping business often isn’t easy. Fiduciary obligations and other difficult situations can arise when we all least expect them, and when we are worst-equipped to deal with them (such as in the height of renewal season). By popular demand, this month’s webinar will focus on when fiduciary duties can arise, who needs to be careful, and how those duties might affect your 2020 renewals.
Faces of Phia: Episode 15 - The Fine Fan Club!
On August 16, 2019
In this episode, learn more about the life and background of Andrew Fine, Phia’s Lead Intake Specialist. Listen in as Andrew discusses his family, the fan club behind him, compliance being the number one priority for plans, and the bittersweet nature of the Celtics. Listen in closely, as the former sports analyst might give you some insider tips!
Tales From the Plan: Episode 3 – Direct & To The Point!
On July 17, 2019
In this episode of Empower Plans – Tales from the Plan, The Phia Group’s VP of Legal Recovery Services discusses his experiences before and after becoming a happy participant in Direct Primary Care. If you are one of the many people who’ve heard about “DPC” but still wonder how it will be received by the plan participants, tune in.
Tales From the Plan: Episode 2 – Mrs Peck, It’s Cancer…
On July 8, 2019
In this meaningful episode, Ron Peck tells us about his family’s battle against cancer, and lessons we can all learn from their experience. Health benefits play a role in our health and survival. You can’t afford to miss this one.
Empowering Plans: P70 – Surprise? Balance Bills!
On June 26, 2019
With this episode, the guys define surprise balance billing, discuss movements to curb them (at the State and Federal levels), and harass Pat “The Man” Santos as well. Stop reading this description and start listening!
Tales From the Plan: Episode 1 – Putting the Benefit in Benefit Plan with Jennifer McCormick
On June 14, 2019
In our inaugural episode of “Tales from the Plan,” our own Sr. VP of Consulting, Jennifer McCormick, opens up and candidly discusses her own experience as a consumer of healthcare of healthcare and member of The Phia Group’s health plan. Jen is brutally honest, and will make you realize that anyone can be taken advantage of, and anyone can take advantage of, our nation’s healthcare system. This is mandatory listening.
Faces of Phia: Episode 13 – Glutton for Punishment
On June 12, 2019
Amanda Lima celebrates more than 6 years with Phia (most of that time working closely with Adam), by chatting about her time here, the company, and the amazing work she’s doing on our clients’ behalves – delving deeply into matters of excessive and abusive provider billing. This is a topic about which everyone is buzzing, and Amanda has got the dirt!
To Pay, or Not to Pay … The Guide to Handling Claims, Denials, and Appeals
On May 23, 2019
Join The Phia Group’s legal team as they discuss the good, bad, and ugly truths about the claims process, and how to safely navigate the various TPA and health plan duties associated with it.
Evolving Healthcare Issues and Events You Need to Know
On April 22, 2019
The healthcare space is rapidly evolving – and self-funding is no exception. Legislators, regulators, and courts are constantly providing new guidance – some good, some not. For this month’s webinar, we’re going to present some current events; we’ll discuss how they can help or hurt self-funded players, and what you can do to take advantage of them (or avoid the pitfalls created).
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