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Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
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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
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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
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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
Industry Terms
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Phia Group Media
Rain Delay – Postponing Play (or Pay)
On July 3, 2013
The Obama administration announced that it is postponing the requirement that employers provide employees robust, affordable health plans; also known as “pay or play.” You may think that this is good news… It’s another year to consider options, prepare funds, and study the intricacies of PPACA. DON’T BE FOOLED!
1st Quarter Newsletter 2013
On June 17, 2013
As you have no doubt heard by now, on April 15, 2013 – two bombs were detonated just before 3 P.M. Eastern Standard Time in the Copley Square area of Boston, MA. Since the news broke, many of you have reached out to us to ascertain our situation and confirm our wellbeing. I am pleased to advise you that our entire team is whole and healthy. The outpouring of support from you, our industry partners, has been moving.
Providing For The Future - The Evolution of Plans' Provider Relationships & Exposing Conflicts Between Plans & Providers
On May 22, 2013
For those that are invested in maintaining health benefits, inventing new cost saving methodologies is the “holy grail.” Enter the provider – hospitals, physicians, and other health care facilities.
Get In Line Before You're Out Of Time - How To Thrive in a Post-PPACA World...
On April 25, 2013
In a world dominated by reform and regulation, there are those who master compliance and thrive, and those who stumble under the burden.
Getting Employers To Self-Fund In The PPACA Era - Keep Existing Clients Self-Funding... Get New Employers To Self-Fund...
On March 13, 2013
As time passes and elements of PPACA are triggered, the cost of purchasing insurance has become too great. Meanwhile, employers see an opportunity to drop coverage, pay a relatively small penalty, and exile employees to the exchanges.
February 2013 Newsletter
On March 4, 2013
It’s only February and I’m already getting sick of the snow. Thankfully spring training is underway and for the first time in years, my beloved Indians have a chance to win! We here at The Phia Group want all of you to win new clients and increase your profitability and that’s why our services are catered to you. The industry is going through much change and our expertise can and will guide you through the storms. Our recent webinar on cost plus offerings was the highest attended to date and we expect to beat that number with our next two on how to convince employers that self funding is right for them. Thanks for choosing us and happy reading.
California / Recovering Benefits from Workers' Compensation
On January 23, 2013
In May of 2012, the California Workers’ Compensation Appeals Board (“WCAB”) adopted amendments, which impact the ability of lien claimants to obtain recovery.
January 2013 Newsletter
On January 21, 2013
I cannot believe that New Year’s Eve was over 2 weeks ago – where have these days gone? Time certainly seems to fly by when I keep myself busy working to ensure that all of you are protected this year. I have been spending much time researching the options available to employers in 2014. Where will they go? Will they decide to self fund or will they join the exchanges?
The State of the Subro-Union Address
On January 16, 2013
The Phia Group’s CEO (Adam V. Russo), Sr. VP and General Counsel (Ron E. Peck), and resident subrogation litigation expert (Christopher Aguiar) will delve into current events, litigation, and changes in law (official and otherwise), as they share the current state of affairs for anyone and everyone interested in subrogation.
December 2012 Newsletter
On December 29, 2012
Happy Holidays to all of you! As we enter 2013, I just wanted to say thank you for the opportunity to serve you and the entire industry over the past 12 years and I look forward to doing so in 2013.
Looking Forward to 2013 - The Phia Group Looks Back at 2012 and Forward to 2013
On November 26, 2012
If you thought 2012 was a wild ride, wait until you see 2013...
November 2012 Newsletter
On November 21, 2012
The elections are over and regardless of who you voted for, the fact remains that PPACA is here to stay. While many of you have been utilizing our firm to assist in your compliance needs, we have never publicly announced that our team of experts can assist your organization with Regulatory Compliance issues until now.
Trick Or Treat
On November 11, 2012
Plan sponsors are looking for ways to cut costs without limiting benefits. New solutions are popping up everywhere, from medical tourism, to carving out dialysis; from placing a Medicare + cap on allowable expenses, to having outside auditors reprice claims.
Doing It For Ourselves
On November 11, 2012
June 28th, 2012 is a date that will not live on in infamy or otherwise. On that date The Supreme Court of the United States (“SCOTUS”) took the path of least resistance, declaring that The Patient Protection and Affordable Care Act (“PPACA”) is Constitutional, while tearing the claws from the so-called “mandate’s” enforceability. In one fell swoop, SCOTUS both locked PPACA in as the law of the land, and eliminated the government’s ability to enforce the mandate against individuals.
The Supreme Court Opinion on PPACA
On November 11, 2012
The US Supreme Court upheld the sweeping 2010 healthcare law, declaring that Obama and Congress acted within their powers in requiring most Americans to obtain health insurance.
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