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Blog
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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
Gag Clause Prohibition Compliance Attestation
Industry Terms
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FAQ - Subrogation & Reimbursement
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Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
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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
Industry Terms
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FAQ - Subrogation & Reimbursement
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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
Gag Clause Prohibition Compliance Attestation
Industry Terms
Phia Group
Phia Group Media
Can’t We All Just Get Along?
On July 12, 2017
Every once in a while you come across a plan that doesn’t want to comply with its stop loss contracts and/or obligations. It’s important that everyone realizes that we need each other to survive.
The Phia Group's 3rd Quarter 2017 Newsletter
On July 11, 2017
The Phia Group is seeing exponential growth in 2017! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.
Empowering Plans Segment 12 - The Cost of Care
On July 10, 2017
This week, The Phia Group's CEO, Adam Russo and Sr. VP, Ron Peck, interviewed Attorney Jon Jablon - Director of Provider Relations, regarding the seemingly increasing number of excessive charges being billed by providers to health plans, strategies to cut costs, and importantly - ways to work with providers rather than against them, in an effort to implement an arrangement that works for all involved.
The Stacks - 3rd Quarter 2017
On July 7, 2017
This is “The Stacks” from the Phia Group’s 3rd Quarter 2017 Newsletter
Spinning the Web of the Plan Document
On July 7, 2017
Kelly explains the importance of reviewing plan revisions for errors causing gaps in stop loss policies and further complications. Learn more.
Altogether Now… But Not a Single Payer
On July 5, 2017
Ron Peck, Esq. explains the problems with a Single Payer System, the differences between types of insurance and how costs are determined. Read more now.
It’s Time for a Wake-Up Call!
On June 26, 2017
Learn more about how to educate your employees and get them involved in making healthy choices to benefit themselves and their healthcare costs.
Empowering Plans Segment 11 - The Senate Unveils its Repeal & Replace Bill
On June 22, 2017
In this special edition of the Empowering Plans podcast, Sr. Vice President and General Counsel Ron Peck and Attorney Brady Bizarro give their initial thoughts on the Better Care Reconciliation Act. What is in this new bill? What does it mean for the self-funded industry? What is next for healthcare reform?
A Network by any Other Name
On June 22, 2017
PPOs, EPOs, HMOs… The days of simple network categories is past. Today, innovative providers are offering up-front transparent pricing, subscription-based direct primary care (DPC), value based pricing, ACOs, medical tourism, international prescription plans, on-site clinics, telemedicine and direct contracting with “centers of excellence.”
Full Billed Charges: A Question of Geography
On June 21, 2017
Do providers reserve the right to receive full billed charges from your plan? How is your plan set up? Find out with this helpful article.
Empowering Plans Segment 10 - Plan Tales: The Good, Bad, and Really Bad
On June 19, 2017
In this episode, Adam Russo and Ron Peck interview two key members of The Phia Group’s consulting division – Vice President of Consulting, Attorney Jennifer McCormick, and Product Developer, Kristin Spath. These two have tales to tell, regarding their experiences helping clients with unusual questions, and transforming outlandish ideas into real benefit plan innovations.
Behind Closed Doors
On June 19, 2017
Brady C. Bizarro, Esq. discusses the leaked bits of healthcare information from our government so far in 2017. What does this mean for you? Learn more today.
“Stay away from Back Surgery”: A Warning from NBA Coach Steve Kerr
On June 14, 2017
As orthopedic surgeries are more commonly recommended, the cost continues to increase. Will we see a 400% increase by 2030? Learn more.
Empowering Plans Segment 09 - In the Land of the Blind
On June 12, 2017
The Congressional Budget Office (“CBO”) has released its assessment of the American Health Care Act (Version 2.0), and once again the focus seems to be on who will lose insurance, gain insurance, and change insurance. Yet, as lawmakers stumble with blinders on, addressing only the matter of insurance, other important factors – such as the actual cost of care itself – remains conspicuously absent.
A Win for the Good Guys!
On June 7, 2017
Is an SPD enough when standing up against benefit plan reimbursement rights? We explain why the 5th Circuit ruling helps. Read more now.
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