It’s only February and I’m already getting sick of the snow. Thankfully spring training is underway and for the first time in years, my beloved Indians have a chance to win! We here at The Phia Group want all of you to win new clients and increase your profitability and that’s why our services are catered to you.
The industry is going through much change and our expertise can and will guide you through the storms. Our recent webinar on cost plus offerings was the highest attended to date and we expect to beat that number with our next two on how to convince employers that self funding is right for them. Thanks for choosing us and happy reading.
The survival of self-funding in the face of PPACA, stricter stop-loss regulation, and the exchanges, is reliant upon doing more for less. Plan administrators are now thinking outside the box, developing payment methodologies that draw upon both old and new practices. Change, however, invites upheaval; in a world dominated by PPO networks and provider agreements, anyone who strays from the norm has a fight on their hands. Join The Phia Group’s CEO, Adam V. Russo, and Sr. Vice President, Ron E. Peck, as they dissect these new concepts, consider the pros and cons, and share their experiences as advocates of these new theories.
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In May of 2012, the California Workers’ Compensation Appeals Board (“WCAB”) adopted amendments, which impact the ability of lien claimants to obtain recovery.
• To secure reimbursement when filing a “green-lien,” lien claimants must pay a fee of $150.00.
• To secure reimbursement when filing a “green-lien,” “…lien claimants must appear at a lien conference and/or trial …”
We have already developed a strategy to ensure a smooth progression in light of these rules, and have the legal expertise in place to secure recovery. Please note, however, that the filing fee and appearance by local counsel will result in additional expense to the Plan. In an effort to maximize recoveries for our clients while minimizing costs, The Phia Group and its clients will have to conduct a cost-benefit analysis when deciding whether to pursue reimbursement, on a case by case basis.
PLEASE MARK YOUR CALENDAR! The Phia Group will be hosting a webinar specifically regarding these issues on January 23, 2013 at 4 PM EST / 1 PM PST. We have limited invitations to you and entities like you, directly impacted by these new rules. We will be discussing the new rules in greater detail, will field your questions, and will discuss the many issues benefit plans should keep in mind when assessing their options. It is important to us that you attend.
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The Phia Group’s CEO (Adam V. Russo), Sr. VP and General Counsel (Ron E. Peck), and resident subrogation litigation expert (Christopher Aguiar) will delve into current events, litigation, and changes in law (official and otherwise), as they share the current state of affairs for anyone and everyone interested in subrogation. You may think your time-tested methods for cost containment via claims recovery are safe and sound… and you’d be wrong. This is a discussion you will not want to miss.
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Happy Holidays to all of you! As we enter 2013, I just wanted to say thank you for the opportunity to serve you and the entire industry over the past 12 years and I look forward to doing so in 2013.
If you thought 2012 was a wild ride, wait until you see 2013. Obamacare is the law of the land, and it’s here to stay. The entities empowered by PPACA to issue mandates are prepared to unleash a tidal wave of regulations in 2013. Subrogation and coordination of benefits once again appear before the Supreme Court. The very definition of self-funding, rights under ERISA, and access to stop-loss have come under attack. Join The Phia Group’s CEO, Adam V. Russo, Sr. V.P. and General Counsel, Ron E. Peck, and V.P. of Consulting Services, Jennifer McCormick, as they discuss what we can expect to see in 2013, and how best to prepare for what’s coming.