Phia Group

A Look Behind, A Look Ahead, Lessons Learned in 2013, and Predictions for the Coming Year

On January 8, 2014
Join The Phia Group as we review the biggest issues dealt with in 2013, the lessons learned, and what we expect to be dealing with in the year to come.

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.

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?

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.

Providing For The Future - The Evolution of Plans' Provider Relationships & Exposing Conflicts Between Plans & Providers

On May 22, 2013
For those that are invested in maintaining health benefits, inventing new cost saving methodologies is the “holy grail.” Enter the provider – hospitals, physicians, and other health care facilities.

Get In Line Before You're Out Of Time - How To Thrive in a Post-PPACA World...

On April 25, 2013
In a world dominated by reform and regulation, there are those who master compliance and thrive, and those who stumble under the burden.

Getting Employers To Self-Fund In The PPACA Era - Keep Existing Clients Self-Funding... Get New Employers To Self-Fund...

On March 13, 2013
As time passes and elements of PPACA are triggered, the cost of purchasing insurance has become too great. Meanwhile, employers see an opportunity to drop coverage, pay a relatively small penalty, and exile employees to the exchanges.

California / Recovering Benefits from Workers' Compensation

On January 23, 2013
In May of 2012, the California Workers’ Compensation Appeals Board (“WCAB”) adopted amendments, which impact the ability of lien claimants to obtain recovery.

The State of the Subro-Union Address

On January 16, 2013
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.

Looking Forward to 2013 - The Phia Group Looks Back at 2012 and Forward to 2013

On November 26, 2012
If you thought 2012 was a wild ride, wait until you see 2013...

Trick Or Treat

On November 11, 2012
Plan sponsors are looking for ways to cut costs without limiting benefits. New solutions are popping up everywhere, from medical tourism, to carving out dialysis; from placing a Medicare + cap on allowable expenses, to having outside auditors reprice claims.

Doing It For Ourselves

On November 11, 2012
June 28th, 2012 is a date that will not live on in infamy or otherwise. On that date The Supreme Court of the United States (“SCOTUS”) took the path of least resistance, declaring that The Patient Protection and Affordable Care Act (“PPACA”) is Constitutional, while tearing the claws from the so-called “mandate’s” enforceability. In one fell swoop, SCOTUS both locked PPACA in as the law of the land, and eliminated the government’s ability to enforce the mandate against individuals.

The Supreme Court Opinion on PPACA

On November 11, 2012
The US Supreme Court upheld the sweeping 2010 healthcare law, declaring that Obama and Congress acted within their powers in requiring most Americans to obtain health insurance.