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The No Surprises Act Explained
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The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
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In-Network vs Out-of-Network Claims
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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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Phia Group
Phia Group Media
The First 100 Days: President-elect Donald Trump, Healthcare, and Self-Funding
On November 21, 2016
The election is behind us, and no matter who you supported, it was one of the most divisive in recent history. Regarding the contentious topic of healthcare, President-elect Donald Trump has promised to repeal the Affordable Care Act and replace it with a better, more efficient system. The future of our industry is sure to change.
3rd Quarter Newsletter 2013
On October 28, 2013
Ill be honest with all of you – did I think back in 1999 when I formed The Phia Group with my college buddy Mike Branco that this company would become what it is today? The answer is I had no idea what I expected this company to become. I was just doing something that I loved and thought if I could make a living doing it then that would be “wicked” cool. We have blown away any expectations we have 14 years ago and the fact remains we have much more to do.
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?
Medicare-Plus & Other Cost-Plus Methodologies - The Controversy
On February 12, 2013
The survival of self-funding in the face of PPACA, stricter stop-loss regulation, and the exchanges, is reliant upon doing more for less.
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...
November 2012 Newsletter
On November 21, 2012
The elections are over and regardless of who you voted for, the fact remains that PPACA is here to stay. While many of you have been utilizing our firm to assist in your compliance needs, we have never publicly announced that our team of experts can assist your organization with Regulatory Compliance issues until now.
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.