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Guide to Understanding Subrogation
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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
Members Area
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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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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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Posts
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Industry Articles
Guide to Understanding Subrogation
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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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Phia Group Media
Empowering Plans: P132 - The Enhanced DOL Enforcement Effort
On April 1, 2022
This podcast discusses how the CAA enhanced DOL enforcement mechanisms. Learn about the DOL's evolving approach to MHPAEA and the impact on plan sponsors.
Empowering Plans: P131–Reduction Requests | Fiduciary Duties
On March 18, 2022
This podcast features a deep dive into reduction requests and a Plan's fiduciary duties. Learn why a reduction can be in a Plan's best interest and more.
Empowering Plans: P130 – Healthcare Policy | The Phia Group
On March 4, 2022
This podcast talks about Biden's first State of the Union Address. Learn about the important healthcare policy items he discussed and which he didn't.
Empowering Plans: P126 – Challenges and Opportunities with Value-Based Care for 2022
On January 6, 2022
This podcast talks about the challenges and opportunities of value-based care. Listen to learn about what it is, where it's at now and where it's headed.
Empowering Plans: P125 – The Night Before an Emergency Room Visit
On December 22, 2021
This podcast discusses the basics of recovering subrogation dollars. Learn about identifying subrogation opportunities through an entertaining story.
Empowering Plans: P124 – Healthcare Subrogation and Plan Document Requests
On December 10, 2021
This podcast talks about what a health plan should do in the event of a pesky U.S.C. 1024(b)(4) records request. Listen to learn more details.
Empowering Plans: P123 – Supreme Court Takes Major Dialysis Case
On November 23, 2021
This podcast discusses the history of dialysis case law and different legal interpretations. Learn about the important developments and future predictions.
Empowering Plans: P118 – You Can’t Always Get What You Want
On September 17, 2021
Our experts discuss what happens when limited settlement funds force Plans to consider a reduction. Learn more in this podcast by The Phia Group.
Empowering Plans: P116 – Right to Repair and Healthcare
On August 20, 2021
This podcast discusses Biden’s executive order on right to repair. Learn how it impacts healthcare costs, patient safety and intellectual property rights.
Empowering Plans: P114 – Time to Vent!
On July 23, 2021
This podcast discusses key mistakes and false beliefs dominating the media, politics, and the general public. Learn how this impacted recent rulemaking.
Empowering Plans: P113 – Ahlborn Revisited
On July 9, 2021
Listen to this podcast discussing a recent Medicaid case involving conflicting court decisions. Learn about its impact on subrogation and reimbursement.
Empowering Plans: P111 – Breaking Down Drug Importation!
On June 11, 2021
Listen to this podcast discussing state drug importation programs. Learn about whether a participant can be a plan fiduciary after a third party recovery.
Empowering Plans: P110 – NQTL? MHPAEA?! OMG, IDK!
On May 27, 2021
This podcast discusses the NQTL analysis now required by the MHPAEA. Learn about what it is, what it entails and how health plans can protect themselves.
Empowering Plans: P108 – A Win/Win Proposition – Better Quality for Patients, Real ROI for Plans
On May 11, 2021
In this episode of the Empowering Plans Podcast, Jordan Feldman, CEO & Co-Founder of Rightway Healthcare, discusses Rightway's impact. Listen now!
Empowering Plans: P106 – A No-Surprises Party – The No Surprises Act Dissected
On April 16, 2021
Listen to industry legends discuss the No Surprises Act on this podcast. Learn about its impact and what you need to do now to ensure compliance.
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