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Learn - Independent Consultation & Evaluation
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Save - Claim Negotiation & Signoff (CNS)
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Save - No Surprises Act (NSA)
Protect - Plan Appointed Claim Evaluator (PACE)
Protect - Balance Billing Resolution
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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
Members Area
FAQs
FAQ - Subrogation & Reimbursement
FAQ - Mass Tort Subrogation & Reimbursement
Questionnaire Response
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Learn - Independent Consultation & Evaluation
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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
+
Members Area
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FAQ - Subrogation & Reimbursement
FAQ - Mass Tort Subrogation & Reimbursement
Questionnaire Response
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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
RBP: Why Litigate?
On November 22, 2019
Litigation is becoming a popular way of enforcing Reference-based pricing when a provider makes unreasonable demands and refuses to settle. Learn More.
Empowering Plans: P72 – The Young & The Restless
On November 21, 2019
Adam Russo and Brady Bizarro sit down with Craig Clemente, Chief Operations Officer at Specialty Care Management and outgoing Chairman of the SIIA Future Leaders Committee, to discuss the future of the committee and the many ways they intend on engaging the younger generation. Make sure you tune in to find out what SIIA has in store for 2020 and beyond.
Theories v. Practicality: The Simplest Answer is Often the Best!
On November 18, 2019
Whether you believe that a breach of contract action against a plan participant is allowed, it’s better to be able to prevent the money from being put at risk.
Warren and Buttigieg Cross Swords Over Health Care
On November 15, 2019
The Democratic candidate, Elizabeth Warren, known for her multitude of plans and granular policy detail, has officially unveiled her Medicare for All plan.
Faces of Phia: Episode 19 – Shauna Makes a Comeback
On November 15, 2019
Join Adam Russo and Ron Peck as they interview Shauna Mackey, The Phia Group’s Associate General Counsel. Shauna is back in New England after moving to London, and was fortunate to have had private health insurance through her husband’s company, as opposed to utilizing the public healthcare offered to all residents in England. Tune in to learn more about Shauna and her experience with both public and private healthcare throughout her pregnancy and delivery.
Plan Language, Rx, and Lawsuits to Watch (and File): Innovation for a Changing Industry
On November 13, 2019
In the face of evolving pricing models, ever-increasing drug costs, difficulties in administering claims, and increased regulatory burdens, the players in the self-funding industry need change. Not just any change, though; creative change that promotes cost-containment and makes life easier for those who support health benefit plans in one way or another.
An Objective Analysis and Response to Elizabeth Warren’s “Ending the Stranglehold of Health Care Costs on American Families”
On November 7, 2019
Ron Peck provides an objective analysis on Senator Elizabeth Warren's policy paper, “Ending the Stranglehold of Health Care Costs on American Families.”
Happy (Almost) New Plan Year!
On November 6, 2019
Don't let the hectic Fall season bring you down - we've compiled helpful tips for employers to keep in mind as they review health plans for the new year.
Hospitals Jump Into the Fray – New Lawsuits Against Opioid Manufacturers
On November 4, 2019
A drug manufacturer is being tried for its role in America's opioid crisis. Since, hospitals have joined up in a handful of lawsuits in state courts.
Faces of Phia: Episode 18 – Battling Balance-Billing
On November 4, 2019
Join Adam Russo and Ron Peck as they interview Lyneka Hubbert, a Medical Claim Negotiator here at The Phia Group. Lyneka has worked in six different departments throughout her five years at Phia, and has more in store for her future here. Tune in to learn more about Lyneka and her experience with protecting patients from balance bills.