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Phia Group Media


Relationships Matter in Resolving Claims Disputes

On February 1, 2017
Phia received a $60K claim caused by a serious fall while the member was hiking. The member was taken to the nearest hospital which was out of network, and where the client had a history of 20% discounts.  Phia had previously developed a good relationship with this California Hospital and was able to settle the claim for 13K (200% Medicare).  Cost-containment is often claim expertise and legal strength, but relationships always count as well; Phia balances all these considerations in our dealings.

For Some, the Affordable Care Act Is a Lifesaver. For Others, a Burden.

On February 1, 2017
By SONA PATEL and FAHIMA HAQUE

After President Trump and the Republican-controlled Congress vowed to repeal and replace the Affordable Care Act, millions of Americans have been left wondering about the future of their health care. We asked readers to tell us how they would be affected if the law were repealed. These are some of their stories, condensed and edited for clarity.

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Diabetes patients sue 3 drug companies over alleged fraudulent insulin pricing

On February 1, 2017
By Kelly Gooch

Eleven diabetes patients are suing several drug companies for alleged collusion on insulin pricing, reports The Washington Post.

The lawsuit was filed Monday in U.S. District Court in Massachusetts against Indianapolis-based Eli Lilly, French pharmaceutical company Sanofi and Danish drugmaker Novo Nordisk. The suit claims the companies systematically increased insulin list prices for years in an alleged fraudulent-pricing scheme that left patients with “crushing out-of-pocket expenses,” according to the article. The companies, the lawsuit says, increased the insulin list prices to expand their discounts without lowering the overall price tag, according to the report.

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