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The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
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The No Surprises Act Explained
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The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
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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
Industry Terms
Phia Group
Phia Group Media
Faces of Phia: Episode 13 – Glutton for Punishment
On June 12, 2019
Amanda Lima celebrates more than 6 years with Phia (most of that time working closely with Adam), by chatting about her time here, the company, and the amazing work she’s doing on our clients’ behalves – delving deeply into matters of excessive and abusive provider billing. This is a topic about which everyone is buzzing, and Amanda has got the dirt!
To Pay, or Not to Pay … The Guide to Handling Claims, Denials, and Appeals
On May 23, 2019
Join The Phia Group’s legal team as they discuss the good, bad, and ugly truths about the claims process, and how to safely navigate the various TPA and health plan duties associated with it.
The Final AHP Rules Take a Hard Hit (Part 2)
On April 29, 2019
The courts recently vacated the provisions set by the AHP rules. Learn more about future implications these changes may have for you and your employer.
Beware The “Lesser Of”
On April 23, 2019
Learn more about avoiding problems with the plan document obligating the Plan Administrator to pay less than the amount required by a separate contract.
Evolving Healthcare Issues and Events You Need to Know
On April 22, 2019
The healthcare space is rapidly evolving – and self-funding is no exception. Legislators, regulators, and courts are constantly providing new guidance – some good, some not. For this month’s webinar, we’re going to present some current events; we’ll discuss how they can help or hurt self-funded players, and what you can do to take advantage of them (or avoid the pitfalls created).
Faces of Phia: Episode 11 - Reminiscing with Andrew
On April 17, 2019
In the latest episode of Faces of Phia, Adam and Ron reminisce on Andrew Silverio's Undergraduate adventure. Tune in for an episode filled with trips down memory lane, international drug importation, and predictions about the future of prescription drugs!
Empowering Plans: P68 – Breaking News - Federal Judge Blocks Expansion of AHPs
On March 29, 2019
Last night, a federal judge in Washington, D.C. ruled that the Department of Labor’s new rules that expanded the sale of association health plans (“AHPs”) violate existing law. Those rules applied to fully-insured AHPs in September 2018, to existing self-funded AHPs in January 2019, and would have permitted new self-funded AHPs on April 1, 2019. If this ruling stands, it will have a significant impact on the self-funded industry. The Phia Group will have extensive analysis of this decision in the coming days. For now, join Adam and Brady as they unpack this 43-page order and discuss what it all means for employers, TPAs, brokers, and the broader industry.
Empowering Plans: P66 - Bigger in Texas
On February 28, 2019
Join The Phia Group’s Ron Peck and Brady Bizarro as they discuss Brady’s recent trip to Austin and presentation at the Texas Association of Benefit Administrators; with a focus on employee engagement, new ideas for cost containment, and an in depth analysis of pending litigation challenging the legality of ObamaCare. Yeah… You’ll want to tune in for this one.
Faces of Phia: Episode 9 - Taking Account with Lisa T!
On February 19, 2019
In this episode of Faces of Phia, Adam and Brady interview the superpowered controller of The Phia Group. From adventures in the Steel City to conquering “nice problems to have,” the team covers it all in this candid discussion.
Empowering Plans: P65 - Hail to the Chief!
On February 15, 2019
In this can’t miss episode of Empowering Plans, Brady and Ron dissect the President’s State of the Union Address, and focus in on how it will impact those of us servicing health benefit plans – and the entire healthcare industry. This one is going to be huge.
What We Love About Self-Funding in 2019
On February 14, 2019
Valentine’s Day is upon us, and we’re feeling the love. Too often we, as an industry, spend our time discussing issues, problems, and concerns, and don’t dedicate enough time to the features and opportunities that make self-funding great. We focus so much on “how we save” self-funding, that we forget to celebrate the reasons why self-funding is worth saving in the first place. Join the team as they discuss what makes self-funding such a great option for so many employers and employees, as well as the incredibly cool new innovations rolling out in 2019, that will be sure to make self-funding a sweetheart for even more employers this year and beyond.
New Action on Drug Pricing: Medicare-Like Rates?
On February 11, 2019
The cost of insulin to treat patients with type 1 diabetes has doubled since 2012. Learn more about the bill that could help prevent further increases.
Faces of Phia: Episode 8 - It’s Tomasz Time!
On February 8, 2019
Live from Polska – a journey around the world leads to… The Phia Group. Join Adam and Brady as they take a journey through history and across oceans, to share the story of this unsung hero.
Empowering Plans: P64 - Hospital Transparency!
On February 5, 2019
Let’s Escargot & Meet LCARA: In this episode Ron and Brady discuss the new legal compliance and regulatory affairs team (“LCARA”) with team member Philip Qualo, and specifically address recent efforts to promote hospital transparency.
Faces of Phia: Episode 7 - Ashley Turco… International Agent of Security!
On January 30, 2019
In this episode, the crew once again sit down with a valued team member, whose role sit at the crossroads between technology and healthcare. Ensuring that the privacy and security issues hounding all businesses don’t threaten The Phia Group as it leverages technology to better serve its clients, Ashley is unique not only at the company – but industrywide. Listen in to find out why, and what you need to do to get her seal of approval.
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