Phia Group

The Stacks - 4th Quarter 2018

On September 19, 2018
This is “The Stacks” from the Phia Group’s 4th Quarter 2018 Newsletter

A Contract By Any Other Name

On September 19, 2018
Are you using reference-based pricing? If you answered yes, make sure you're doing it right. Click here to contact Phia Group's Consulting team & learn more!

Back to School: Renewal Time

On September 18, 2018
In the self-funded industry, being diligent with respect to employer groups, vendors, and contracts is always important – but sometimes knowing what to put on a checklist in the first place is more difficult than checking off the items. Renewal time means it’s time to impress prospective clients, keep existing clients happy, and make sure the vendors and contracts being utilized are the best possible fit for your groups. Join The Phia Group’s legal team for an hour on September 18, 2018 at 1pm EDT as they outline a laundry list of what employers, TPAs, brokers, and stop-loss carriers should look for this time of the year – and provide some guidance on how the industry’s players can stay ahead of the curve.

The Kavanaugh Hearings: The Future of Abortion and Obamacare at Stake

On September 17, 2018
Abortion and Obamacare are 2 of the most debated subjects in the world. Click here to learn why the future of both may be at stake at the Kavanaugh hearings.

Texas v. U.S. Serves as Latest Threat to ACA’s Pre-Existing Condition Protections

On September 12, 2018
The Affordable Care Act is under attack again, being called unconstitutional. Click here to learn more about the latest developments with the Texas v. US case.

Empowering Plans: P53 - The View from Nova Healthcare

On September 5, 2018
In this episode of Empowering Plans, Adam Russo and Jennifer McCormick interview Laura Hirsch, President of Nova Healthcare Administrators. They discuss the latest stop-loss trends, patient assistance programs for prescription drugs, and other issues facing the self-funded industry.

Has the Life Expectancy of Drug Rebates Been Reduced?

On August 29, 2018
We all know drug prices are sky-high with seemingly no end in sight. Click here to learn more about the Trump Administration's attempt to reduce drug costs.

With the Lack of Guidance on AHPs, States Take Matters into Their Own Hands

On August 22, 2018
The final Association Health Plan has left states with more questions than answers. With the rules becoming effective on Aug 20th, learn how you will be affected.

Empowering Plans: P52 - The View from SIIA’s Political Perch

On August 15, 2018
In this episode, Adam Russo and Brady Bizarro speak with Ryan C. Work – Vice President of Government Affairs at the Self-Insurance Institute of America (“SIIA”). They talk politics, D.C., and more importantly, about the efforts of the Government Relations Committee to advocate for the self-insured industry. From stop-loss protections and an updated “ERISA Notebook” to new wellness program rules, Ryan reveals the top issues on SIIA’s political agenda and explains how member engagement can really make a difference.

Patient Assistance Programs: Friend or Foe?

On August 15, 2018
Have you been wondering the reality behind patient assistance programs to help pay for your prescriptions? Learn more about PAPs & how it may affect you today.

Breaking the Mold: Creative Solutions for Everyday Problems

On August 14, 2018
Network contracts, stop-loss claims, and intricate medical claim determinations are just a few of the complications that self-funded health plans and their partners need to be able to successfully navigate. Check out our webinar that includes creative solutions for managing these.

CMS Requires Hospitals to Post Standard Charges Online

On August 9, 2018
Price transparency has never really been synonymous with health care. Click here to see how CMS's is attempting to address this on-going healthcare issue.

Empowering Plans: P51 - A Healthcare Homerun

On August 8, 2018
In this episode, Adam Russo, Brady Bizarro, and Ron Peck (yes - he’s back!), chat with Mark S. Gaunya – Chief Innovation Officer and Principal of Borislow Insurance. As an author, innovator, and passionate industry advocate touting more than 25 years of experience, Mark doesn’t pull punches as he addresses the biggest opportunities and threats facing employers, employees, and their plans. If you want to know what’s wrong with the nation’s healthcare system, what we need to do to fix it, and enjoy it when someone teases Adam – this episode is a must listen.

Paid Bereavement Leave for New Yorkers

On August 7, 2018
New York has recently passed a bill amending the Paid Leave Law to include bereavement leave. Learn more about how it may affect you by clicking here.

Know when to fold ‘em

On July 30, 2018
Winning a case does not always equate to the best outcome. Learn more about the "made whole" doctrine in MA and effective cost containment by clicking here.