Phia Group

Hospitals facing big divide in pro- and anti-ACA states

On December 2, 2013
Bradford Regional Medical Center and Olean General Hospital sit just 20 miles apart on opposite sides of the Pennsylvania/New York border.

What You Don't Know Can Hurt You!

On November 20, 2013
As with the Loch Ness Monster and Bigfoot, we have all long believed that Provider Network Agreements exist solely in myth alone, never to be seen by human eyes… until now! From legend to reality; The Phia Group has obtained many provider network agreements, gone through them with a fine tooth comb, and present to you their expert analysis.

New York Governor Signs Legislation Prohibiting ERISA Liens on Settlement Proceeds

On November 19, 2013
On November 13, 2013, the Governor of New York signed legislation which clarifies the scope of General Obligations Law (“GOL”) Section 5-335.

Amicus Update: New York Governor signs into law anti-subrogation bill

On November 15, 2013
Governor Andrew Cuomo signed into law New York Assembly Bill to tighten perceived loopholes in NY Gen. Obl. 5-535

Adding Another Weapon to the Subrogation Arsenal

On October 31, 2013
It may only be October, but Christmas has come early for self-insured health plans. A recent court decision out of Washington affirms a self-insured plan’s right to offset claims as part of its subrogation and reimbursement rights.

3rd Quarter Newsletter 2013

On October 28, 2013
Ill be honest with all of you – did I think back in 1999 when I formed The Phia Group with my college buddy Mike Branco that this company would become what it is today? The answer is I had no idea what I expected this company to become. I was just doing something that I loved and thought if I could make a living doing it then that would be “wicked” cool. We have blown away any expectations we have 14 years ago and the fact remains we have much more to do.

Letter from The Phia Group’s editior, Andrew Milesky

On October 14, 2013
Since the passing of the law, various waves of reform have impacted our industry, sending many of our clients into panic mode as they hustle and bustle to update their plans and implement measures to ensure compliance. Learn More.

The Domestic Partnership Benefits and Obligations Act of 2013 Seeks to Amend Federal Law

On October 14, 2013
United States Senate Bill 1529, the Domestic Partnership Benefits and Obligations Act of 2013, seeks to amend federal law to provide insurance benefits for federal employees in a same-sex domestic partnership and their domestic partners.

How the Supreme Court’s ruling on DOMA affects self-funded plans

On October 10, 2013
On June 26, 2013, the U.S. Supreme Court in United States v. Windsor struck down “Section Three” of the Defense of Marriage Act (DOMA), which prevented the federal government from recognizing any marriages between gay or lesbian couples for the purpose of federal laws or programs

Attack of the Killer P’s – Providers Paying Patients’ Premiums

On October 10, 2013
A recent and unsettling trend in the healthcare industry involves medical providers paying insurance premiums or contributions on behalf of their patients in order to ensure that the patient’s coverage remains active.

2014 & Beyond - Reacting to PPACA's Volatile Evolution

On September 25, 2013
Health Insurance Reform (aka Obamacare, aka PPACA, aka Healthcare Reform) has not enjoyed a smooth implementation. In fact, its birth has been quite turbulent. Are you surprised?

2nd Quarter Newsletter 2013

On August 28, 2013
It’s been a crazy few months for the health insurance industry as you all know. All I can tell you is that we are here for you with your questions and needs. We attempt to stay ahead of the curve and I can tell you confidently that more changes are ahead, so be sure to tune into our webinars over the next few months. As always, thank you for your support of The Phia Group. We promise to keep you informed so you can protect yourselves and your clients. Happy reading.

Insurers Commissioners Signal Retreat on New Stop-Loss Insurance Regulation and Discuss MEWA Issues

On August 26, 2013
Comments made by regulators over the weekend at the summer meeting of the National Association of Insurance Commissioners (NAIC) in Indianapolis made it clear that ongoing pushback by SIIA and other stakeholder groups has dampened enthusiasm for new stop-loss regulation.

What's Good for the Goose is Good for the Gander? Analyzing BUCA-ASO PPO Agreements!

On August 20, 2013
Join The Phia Group’s CEO – Adam V. Russo, Esq. – as well as its Sr. VP & General Counsel – Ron E. Peck, Esq. – as they dissect contractual terms existing between carriers and their network providers, and share the realization that they know exactly what is important to you.

Ensuring Cost Containment Success - Member Outreach & Support

On July 31, 2013
On July 31st at 1 PM EST, The Phia Group’s CEO – Attorney Adam V. Russo – and The Phia Group’s Sr. VP and General Counsel – Attorney Ron E. Peck – will address one of the most pressing issues facing our industry today – balance billing.