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2nd Quarter Newsletter 2015

On July 16, 2015
The past few months have brought so much intrigue to our industry. Everywhere you looked, something or someone was affecting health care and the insurance industry as a whole. We saw the Supreme Court make a few monumental decisions that will affect how plans are written in the future and the viability of the ACA. We saw interesting court cases placing more potential fiduciary risks upon brokers and administrators. We watched and reacted as more states attempted to limit the ability for smaller employers to self fund their benefits through the use of stop loss coverage and last, but certainly not least, we have seen a monumental increase in the DOL audits to our clients and the industry at large. If there ever was a time that The Phia Group’s services were needed, this is it! There is no question that health claims costs continue to skyrocket and the use of so called wrap discounts on many of these claims isn’t helping to reduce the burden. If you are looking for some innovative options to stand out from the pack, please contact me as there are so many great ways to truly make a powerful impact on behalf of your employer plans. We can save you and your plans significant claim dollars, you just need to strategize and identify your major pain points. The next quarter will continue to be eventful so while you enjoy your summer weather, please be sure to let us know if you need some assistance – we are here for you. Happy reading

"Stories From The Front Lines" - Real Wins, Losses, & Difference Makers

On May 20, 2015
Join The Phia Group on Wednesday, May 20th, from 1 to 2 PM EST, as its attorneys discuss their experiences providing plan administrators with guidance as it relates to difficult claim processing decisions, conflict resolution, and bill negotiation… as well as dissect the small factual differences between otherwise similar scenarios that made all the difference.

"Survival of the Fittest" - Best Practices to Perfect a Modern TPA

On April 23, 2015
Join The Phia Group’s legal team as they discuss the best practices for TPA’s and how this can help you!

"To Be Or Not To Be"... A Fiduciary - Do You Even Have A Choice?

On March 25, 2015
Being a fiduciary is serious business. Determining whether you are one can also be very complicated. Case law increasingly establishes that being a fiduciary has more to do with the action one takes, than the contract one signs. Entities working on behalf of self-funded benefit plans may be unknowingly taking on fiduciary status. Are you a fiduciary? What are the advantages and disadvantages of taking on that burden? What can you do to protect yourself?

Pushback & Counter-Attack

On February 12, 2015
Pushback & Counter-Attack – How attorneys, providers, and the government are combating your efforts to contain costs… and what you should be doing about it!

IMPLANT WARS!

On January 14, 2015
IMPLANT WARS: How monitoring provider self-referrals, & negotiating based on actual costs can result in major plan savings!

4th Quarter Newsletter 2014

On January 13, 2015
I’d like to start by thanking all of you that have chosen The Phia Group as your trusted partner. I know very well that other options are available to you, and we are inspired and thankful everyday that you place your trust in us. I have always, and will continue to promise, that our team of recovery specialists, plan drafters, paralegals, lawyers, and support staff will do everything in our power to maximize the benefits while lowering the cost of your health benefit programs!

"In Reference To The FAQ"... The DOL FAQ Dissected - Part Deux!

On November 20, 2014
Join The Phia Group’s CEO, Adam V. Russo; Sr. VP & General Counsel, Ron E. Peck; and other members of the legal team as we continue to dissect the FAQ, its key provisions, and how it impacts “RBP Plans .

Phia Group Consulting Addresses Regulatory Compliance

On November 16, 2014
Braintree, MA – For years, The Phia Group’s team of consultants have been dealing with various regulatory inquiries. In response to the impending influx of regulation bound to follow the recent election and rollout of PPACA’s most complex provisions, The Phia Group announced this week the official formation of its Regulatory Compliance team.

Creeping Around Pitfalls on the Way to Scary Savings? - How to Avoid Horror When Implementing Cost Containment Schemes

On October 30, 2014
DON’T MISS OUT! Whether you’re embarking on a new cost containment adventure in-house, or with the help of a vendor, most programs are not simple “plug and play” affairs. Those who head into the dark unprepared will undoubtedly find themselves spooked by what hides around the corner.

Sun Life Financial Announced SunElite, a New Stop-Loss Value-Added Service

On October 18, 2014
Sun Life Financial Announced SunElite, a New Stop-Loss Value-Added Service

3rd Quarter Newsletter 2014

On October 7, 2014
Well, the fall is definitely upon us! Over in Boston, leaves are falling, changing to majestic landscapes, and the nights are getting cold; but The Phia Group is just heating up. We have so much information to share with you this newsletter from new service offerings to case law to regulatory changes. One of the things I wanted to share with you is the amazing conference I had the privilege to speak at this past weekend in Oklahoma City; the First Free Market Medical (FMMA) Association conference. It is rare that I am overwhelmed with new information, but this forum did the trick. The goal of the Free Market Medical Association is to bring together physicians, surgeons, providers, facilities, and support businesses to provide necessary resources to promote a successful industry. Its focus is to defend the practice of free market medicine without the intervention of government or other third parties.

Plans For The Future

On September 24, 2014
Join The Phia Group’s CEO, Adam V. Russo, Esq., as he and Senior Vice President and General Counsel (Ron E. Peck, Esq.), Vice President of Consulting (Jennifer McCormick, Esq.), and a team of expert plan drafting specialists discuss the Phia Document Management system, innovative plan design, and why it is especially relevant in light of changes we predict all plan documents will be required to undergo in the coming years.

2nd Quarter Newsletter 2014

On July 23, 2014
What a spring we have had here at The Phia Group. From travelling across the country speaking at various venues, hosting our own Phia Forum a few weeks ago, to our new service offerings; we have been extremely busy here at the home office. Now that the summer is here, you would expect that things would slow down but that’s not the case at all. As the temperature rises, so does our work load, as the number of issues facing the self insured industry continues to grow. Who said that health insurance is boring!?!?!?

"Dude, Where's My Subro?" - Integrating Subrogation - Sought by Employers & Loved by Administrators

On May 15, 2014
As plan sponsors and administrators examine their benefit plans in light of recent legal upheaval, now is our chance to implement important cost containment mechanisms.