Phia Group

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.

CMS projects next decade of health expenditures: 5 takeaways

On February 16, 2017
National health spending is expected to grow at an average annual rate of 5.6 percent from 2016 through 2025, with expenditures projected to hit $5.5 trillion in 2025

Top Miscues Employers Make When It Comes To Their Health Plans ... And What We All Can Do To Become Health Plan Heroes

On February 15, 2017
Employers who self-fund their health plan act as a traditional employer, a plan sponsor, and a plan administrator. Juggling this many roles, conflicts and contradictions are bound to happen. For instance, an employee handbook’s handling of disability leave may conflict with the health plan document as it relates to employment and plan coverage.

First Proposed ACA Rule Changes

On February 15, 2017
Today we got our first new proposed ACA rule changes from the Trump Administration. One of the proposals was to decrease the open enrollment window for individuals to sign up on the insurance exchanges.

IRS loosening enforcement of ObamaCare mandate

On February 15, 2017
The IRS says it will not reject tax forms from people who fail to answer whether they had health insurance

A Canadian Pays Cash for Care

On February 15, 2017
In spite of the fact that I did not use insurance at all, we can still take my personal experience as a case study about the benefits of real-time payment for medical care.