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Protect - Plan Appointed Claim Evaluator (PACE)
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Blog
Press Releases
Podcasts
Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Referenced-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
Industry Terms
Members Area
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FAQ - Subrogation & Reimbursement
FAQ - Mass Tort Subrogation & Reimbursement
Questionnaire Response
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Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
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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
Industry Terms
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Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Referenced-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
Industry Terms
Phia Group
Phia Group Media
The Phia Group's 2nd Quarter 2018 Newsletter
On April 5, 2018
The Phia Group is off to a great start in the second quarter of 2018! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.
Don’t Miss the Most Dynamic Healthcare Industry Event in New England!
On April 4, 2018
The Phia Group is going to Benefest 2018! The purpose is to reshape and disrupt the entire healthcare industry. Read more for additional details!
Empowering Plans: P35 - Direct Primary Care – The Pot of Gold You’re Looking For
On April 4, 2018
In this episode, part of our Partners in Empowerment series, we interview Doctor Jeff Gold of Gold Direct Care (golddirectcare.com). Join us as we ask the questions you want answered regarding this innovative and interesting approach to “real” medical care.
The Stacks - 2nd Quarter 2018
On April 2, 2018
This is “The Stacks” from the Phia Group’s 2nd Quarter 2018 Newsletter
The Phia Group Saves an Employer Thousands of Dollars
On March 30, 2018
Have you received a letter from the IRS saying that you violated employer mandate rules and owe an ESRP penalty? Read here to get all the details.
Negotiated Rates Are King
On March 29, 2018
Negotiated rates are extremely important in the self-funded insurance industry. Click here to see all the benefits!
Freedom Blue II: The ACA’s Unlikely Ally
On March 26, 2018
The Trump Administration recently shut down Idaho’s conservative governor from ignoring the ACA. Read here to know exactly why this happened.
Empowering Plans: P34 – Loopholes, Untouchables, and An Unlikely Ally
On March 23, 2018
In this episode of Empowering Plans, Adam, Ron, and Brady go around the horn discussing a few hot button topics; from exposing what could be a significant loophole affecting health plans to explaining how certain age groups face unique barriers to obtaining health coverage. Finally, they discuss Idaho’s recent attempts to thwart Obamacare and the Trump Administration’s surprising reaction.
Responding to a IRS Letter 226J: Considerations and Common Mistakes
On March 21, 2018
If you are an applicable large employer, the IRS could possibly be sending a letter. Read more about the 2 types of ESRP penalties that may affect you.
Transparency: Using it to Your Advantage
On March 20, 2018
Join The Phia Group’s legal team as they discuss the need for, and effects of, contractual and price transparency on the self-funded industry – and how health plans, TPAs, and brokers can use transparency to their advantage.
Empowering Plans: P33 - Partners in Empowerment – A Prescription for Savings
On March 16, 2018
In this episode Ron and Brady are thrilled to interview LG Hanzel of Rx Results. LG digs deep on topics ranging from Specialty Drugs to PBMs, and what benefit plans can do to curb the cost of drugs in America – an issue that is big, and getting bigger every day.
Freedom Fighters Abound…
On March 14, 2018
There is no question that the vast majority of folks in self-funding, whether benefit or service providers, have a goal in mind; providing cost effective benefits to the insured.
Contraceptive Update – Appeals and Intervenors
On March 7, 2018
Contraceptive update! Two lawsuits that have challenged the contraceptive coverage rule have created changed issued by the Trump administration. Read more about these and if they could be affecting your situation.
Clearly it’s (Not) Transparency
On March 5, 2018
If the consumer of healthcare (the patient) is different than the purchaser of healthcare (the plan or insurance carrier), how will knowing the price change the consumer’s behavior?
Empowering Plans: P32 - Red Cross Blood Drive Special Episode
On March 1, 2018
Today The Phia Group in partnership with the Red Cross hosted an on-site blood drive. Join Ron Peck as he interviews members of The Phia Group staff and Red Cross leadership as we discuss the event, personal experiences, and the ever present need for donors. This moving and important episode will hopefully drive you to action!
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