Phia Group

Uncertainty Prevails in the Health Care Debate

On August 30, 2017
Review a detailed recap of changes thus far concerning the Affordable Care Act (ACA) for the 2017-2018 enrollment period.

Reference Based Pricing Bloopers & Blunders

On August 28, 2017
Find out what to focus on and what to avoid when setting up your company's health plan reference based pricing. Learn more today.

A True Impact on the Bottom Line – Identifying Current Issues, Implementing Solutions & Seeing Results!

On August 22, 2017
The Phia Group’s legal team frequently addresses the biggest issues impacting the health benefits industry today. Join them as they dissect the conflicts threatening every entity involved in the business of health benefits, and share real life examples of clients who implemented forward thinking solutions… and those that didn’t.

Empowering Plans Segment 16 - In Reference to Reference Based Pricing

On August 22, 2017
This week, Adam Russo and Ron Peck accept that an answer to the high cost of healthcare won’t be coming from D.C., and that health plan administrators (with the help of their partners and advisors) need to address the costs internally. Amongst options to do just that, so-called “Reference Based Pricing” is a hot topic in our industry. Join Ron and Adam as they pick apart this method for containing costs, identify the pros and cons of an “RBP” plan, and discuss options to customize such a program.

Hope for Self-funded Plans in Connecticut..

On August 16, 2017
Check out our article on what you need to know about Connecticut law HB 6221 and how it affects you.

Stopping the Bleeding

On August 11, 2017
This week, The Phia Group’s CEO, Adam Russo and Attorney Brady Bizarro interviewed Garrick Hunt, Phia’s Sales Executive, about some of the most common burdens self-funded employers are facing in our industry. From out-of-network claims to air ambulance to specialty drugs, we explore cost-containment strategies and discuss the potential compliance concerns for employers. Finally, we answer a question from our mail bag regarding best practices for handling overpayments.

The Benchmark Shuffle

On August 9, 2017
Ensure your company is compliant with revised health care benchmark summaries released in 2017. Learn more today.

A House Divided

On August 7, 2017
Find out how to avoid health plan and stop loss disagreements for self-funded health insurance claims with this helpful article.

Empowering Plans Segment 14 - Repeal & Replace Fails: What's Next?

On August 7, 2017
This week, The Phia Group's CEO, Adam Russo, Sr. VP, Ron Peck, and Attorney Brady Bizarro discuss the dramatic events on Capitol Hill and the shocking failure of Senate Republicans to repeal and replace Obamacare. Despite this serious setback, Republicans are not ready to give up. We'll discuss the path forward.

Reverse Medical Tourism

On July 31, 2017
Medical tourism offers many cost-containment options in reducing health care costs. Find out if this makes sense for you.

Reference-based Pricing: Decisions, Decisions…

On July 26, 2017
Sort through the RBP pricing confusion and ask these questions to make the best decision for your company. Learn more.

The Rise of Paid Family Leave Laws & Their Impact on Self-Funded Plans

On July 24, 2017
Understand the evolution of paid family leave laws. See which states passed laws and how much paid time they're required to offer. Learn more today.

Magical Words in Claim Negotiation: “Please Send Claim Back for Processing”

On July 19, 2017
Jason Davis shares his 15 years experience in healthcare negotiation and offers ways to handle pushback from seemingly abusive providers.

Empowering Plans P13 - Your Friendly Neighborhood Provider

On July 17, 2017
Taking a positive view on the industry, Ron Peck, Jon Jablon and Andrew Silverio today share stories and examples of providers working with payers to preserve the private employer based group health plan industry. From price transparency, to direct primary care, to medical tourism – providers that are willing to innovate and work with payers get their moment in the sun with this episode.

Consulting Headlines – The Hottest Topics in Benefit Plan Administration

On July 13, 2017
Extra! Extra! Have you heard the news? Laws are changing, regulations are shifting, and benefit plans are scrambling to keep up.