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Guide to Understanding Subrogation
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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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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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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
Empowering Plans: P77 – Care Where? Care Everywhere!
On January 31, 2020
In this episode, Adam and Ron interview industry legend, Ernie Clevenger, regarding CareHere, LLC, the future of consumer-centric medicine, technology – and most importantly – the MyHealthGuide newsletter!
More Thoughts on The Cigna Racketeering Case
On January 28, 2020
If Cigna truly issued insufficient EOBs and didn’t follow applicable regulations, the providers have a good case that appeals are futile. Read more.
Empowering Plans: P76 – Taking the Stage in 2020
On January 24, 2020
In this episode, Ron Peck and Brady Bizarro discuss the first Democratic debate of 2020 and the latest ruling from a federal appeals court on Obamacare. Time could be running out, both for the ACA and for the candidates for president. You do not want to miss our take on these issues and more!
I Got a Fever, and the Only Prescription is More Transparency
On January 23, 2020
A key part of the Administration's strategy to reduce health care costs involves increasing transparency in the healthcare industry. Learn More.
A Dose of Savings – Addressing Drugs, PBMs, and the Controversies Surrounding Them
On January 21, 2020
Whether you are a fan of politics, profits, or identifying savings, you are likely keeping a close eye on pharmaceuticals. From life-preserving medications that have been around for decades (and whose price increases continue to outpace the national GDP) to specialty drugs that are inches away from FDA approval (and bankrupting most benefit plans), the cost tied to drugs is a hot topic. While congressional efforts to curb rising costs have stalled, pharmaceutical companies, pharmacy benefit managers (PBMs), and politicians continue to look for someone else to blame. Join The Phia Group as they discuss the Rx trends to watch for, the biggest threats to health plans, cost-containment strategies to implement, political efforts underway, and an injection of information you can’t do without.
Case to Watch – Advanced Gynecology and Laparoscopy of North Jersey, P.C. et al v. CIGNA
On January 20, 2020
Providers are challenging the validity of CIGNA’s reference-based pricing, which guides the payments of many self-funded plans around NJ. Read More.
The Phia Group's 1st Quarter 2020 Newsletter
On January 16, 2020
The Phia Group is off to a great start in the first quarter of 2020! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.
The Stacks – 1st Quarter 2020
On January 14, 2020
This is “The Stacks” from The Phia Group’s 1st Quarter 2020 Newsletter.
ACA PCORI FEES ARE BACK
On January 14, 2020
The Patient-Centered Outcomes Research Institute (PCORI) fee was established as a part of the ACA to fund medical research. Learn more about ACA fees.
Health Plan Changes After a Merger
On January 9, 2020
One thing that should always be addressed is the impact that the transaction will have on the benefit plans of the buyer and the seller. Learn more.
Embracing the Pain, Avoiding the Suffering
On January 6, 2020
The phrase "Pain is inevitable. Suffering is optional" fits perfectly when discussing the health benefits industry & healthcare as a whole. Read how.
Empowering Plans: P75 – Free Health Benefits at Phia
On January 3, 2020
We finally did it! Join Adam Russo and Ron Peck as they discuss the different tactics used to offer Phia's employees FREE health benefits! This is not a podcast that you can afford to miss.