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Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
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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
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Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
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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
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Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
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
Phia Group
Phia Group Media
Your Plan isn’t a Cadillac …Yet
On January 31, 2018
The most notable in the self-funded industry is the ACA’s High Cost Employer-Sponsored Health Coverage Excise Tax (“Cadillac Tax”). The Cadillac Tax was originally set to begin in 2018, but has been delayed again. Find out when your plan will become a Cadillac from The Phia Group.
Plan on Saving by Saving Your Plan – Applying Lessons Learned to Create the Perfect Plan Document
On January 30, 2018
Join The Phia Group’s legal team as they explain the Flagship template, differences from the existing template, and why the Flagship may be right for you.
Empowering Plans Segment 28 - Game-changers
On January 29, 2018
This week, our hosts discuss Adam’s recent travels and review events. We are not alone in our attitudes and desires to change the industry for the better, and now we have proof of that fact! What ideas and concepts were shared with Adam, and how can we add fuel to the fire?
The Phia Group's 1st Quarter 2018 Newsletter
On January 25, 2018
The Phia Group is off to a great start in the first quarter of 2018! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.
The Stacks - 1st Quarter 2018
On January 25, 2018
This is “The Stacks” from the Phia Group’s 1st Quarter 2018 Newsletter
Sick (Leave) Day: Maryland Revamps Paid Sick Leave Law
On January 23, 2018
Maryland has become the latest state to mandate paid sick leave for employers with 15 or more employees. Learn about the permissible uses for earned sick and safe leave options that are stated in the law. The Phia Group offers their key takeaways and the ability to read the full Act here.
Empowering Plans Segment 27 - Mandate? We don’t need no stinking mandate!
On January 22, 2018
In this episode, Adam, Ron, and regular co-hose – Brady Bizarro – address the new tax law, elimination of the individual mandate, and how it may impact benefit plans of all types. In particular, they examine the psyche of low risk lives and ask the all-important question – how do we keep them enrolled without the mandate?
A Taxing Time: The Tax Bill’s Impact on Self-Insurance
On January 18, 2018
On December 22nd, President Trump signed a $1.5 trillion tax bill. Among other things, it effectively ends the Affordable Care Act’s individual mandate. It will have a major impact on individual and employer-sponsored health insurance. Millions of Americans may be without health insurance coverage in the coming years. For self-funded plans, this bill may lead to higher costs due to ripple effects across the entire health insurance market while also opening doors to increased cost-containment opportunities. There are other legislative proposals and agency action which could impact our industry, and many states are considering proposals of their own.
The Reference Based Pricing Stew
On January 17, 2018
Reference-based pricing tends to be something you will love or hate. It is put together like a stew by compiling a ton of different ideas which can result in good stew or a very bland one. It can become very complex due to the industry and other factors. Read more about RBP with The Phia Group
A Backdoor Employer Mandate? Massachusetts Targets Employers to Shore Up the State’s Medicaid Program
On January 15, 2018
Since 2011, approximately 450,000 people have lost their employer-sponsored insurance in Massachusetts. In the same time period, MassHealth enrollment increased by just over 500,000. The MassHealth program is literally drowning the state in debt, and so last year, Governor Charlie Baked signed H. 3822, which has two major components (beginning in 2018).
Empowering Plans Segment 26 - Lightning Strikes Twice – Top 2017 Issues Impacting 2018
On January 10, 2018
In this episode, the “Phia Group Boys” freestyle as they share the issues they felt defined 2017 and are likely to impact 2018. From taxes to law; partnerships to reform… nothing is safe from their analysis and we all benefit from their warnings! This is an episode you cannot afford to miss.
NOT SO FAST! Don’t Change Contraceptive Coverage Just Yet
On January 10, 2018
Changing Contraceptive Coverage? You might want to wait. The new rules essentially allow any company that is not publically traded the ability to refuse to cover contraceptives on moral or religious grounds. The process for the exemption is also much more relaxed than the accommodation process.
Nice to see you, 2018. Should we Expect more of the same?
On January 2, 2018
Avoiding reimbursement rights, self-funded plan structure, prudent management of plan assets or disbursement of settlement funds? No one can predict what will happen in 2018 but The Phia Group will be here to handle any subrogation law needs.