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Phia Group Media

Don’t get cute when ERISA documents are requested

On March 6, 2017
The Employee Retirement Income Security Act generally requires that plan participants get copies of summary plan descriptions, plan documents and annual reports when requested.

Can FMLA leave be involuntary? Court punts

On March 6, 2017
A federal court hearing an FMLA interference case has sidestepped deciding whether it is legal for an employer to place an employee on involuntary FMLA leave.

Assignment of What, Exactly?

On March 6, 2017
If you’ve ever been disgusted with how much the BUCAs charge for health insurance premiums, you’re not alone.

Federal Judge Denies United Healthcare’s Motion to Dismiss in Case Brought by Texas General Hospital for Unpaid & Underpaid Claims

On March 6, 2017
In January of 2015, Texas General was the subject of intense scrutiny after a FOX 4 investigation revealed multiple billing complaints. A woman who underwent gastric sleeve surgery was charged a total of $622,000, most of which her insurance company, United, refused to pay.

Employer-sponsored Plans Should Prepare to be Taxed

On March 6, 2017
The latest news in the repeal and replace saga is that congressional Republicans are pushing to get a bill to the Senate by the end of this month.

It will be my pleasure to balance bill the patient $1.3 Million…

On March 1, 2017
Hospitals report their complete financial information to the Centers for Medicare and Medicaid Services (CMS). This publicly-available information is submitted in accordance with generally accepted accounting principles.

Empowering Plans Segment 03 - The Journey Continues

On February 28, 2017
Once again The Phia Group’s CEO, Adam V. Russo, and Sr. VP, Ron E. Peck, delve into what makes their own company’s health benefit plan unique, and share tips employers (and those that service them) can use to improve their own plan’s performance.

The Guilty Shall Remain Nameless – Yet I shall Shame Them… Again

On February 27, 2017
In this second installment of “The Guilty Shall Remain Nameless” I can’t help but think back to an encounter I had with a walk-in clinic in Las Vegas, Nevada. Read More.

4 main tenets of the GOP’s ACA replacement plan

On February 20, 2017
House Republicans gathered Thursday to discuss a policy memo detailing their ACA replacement plan. The details presented at the meeting did not comprise a full-on plan and instead created more of a roadmap.

15 Things to Know About Stark Law

On February 20, 2017
Enacted more than two decades ago with the simple purpose of curbing physician self-referral, Stark Law has evolved into a complex set of regulations.

Healthcare Need Not Be a Headache

On February 20, 2017
My PCP is a great doctor, but I hate visiting him. I only live 2 minutes from his office, but somehow, my quick visits usually turn into long excursions. Read More.

Summary of Benefits and Coverage- NEW Template

On February 17, 2017
The new Summary of Benefits and Coverage (SBC) template is applicable for plans that have open enrollment periods beginning on or after April 1, 2017. Read More.

House G.O.P. Leaders Outline Plan to Replace Obama Health Care Act

On February 17, 2017
House Republican leaders on Thursday presented their rank-and-file members with the outlines of their plan to replace the Affordable Care Act.

In the Spotlight… Or the Crosshairs? Healthcare Discussion.

On February 16, 2017
This is a time of political upheaval, and the powers that be are scrambling to find a replacement for the status quo. If self-funding is linked to these types of issues, conflict, and loss, we will not be the future of health benefits in America.

How expensive are knee replacements in the 20 largest US cities?

On February 16, 2017
The total price includes hospital services, physician services and anesthesia, according to Healthcare Blue Book.