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Phia Group Media


I Hate Surprises!

On December 22, 2020
The "No Surprises Act" is a proposed law that relates to "surprise" balance health insurance bills. Click to learn all about what it is and what it isn't.

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.

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.

Lots of Moving Parts

On September 11, 2019
As self-funders know, there are multiple considerations involved in most decisions. Even negotiating a pre-payment bill can involve many questions.

A Contract By Any Other Name

On September 19, 2018
Are you using reference-based pricing? If you answered yes, make sure you're doing it right. Click here to contact Phia Group's Consulting team & learn more!

Reference-based Pricing: Decisions, Decisions…

On July 26, 2017
Sort through the RBP pricing confusion and ask these questions to make the best decision for your company. Learn more.

Unraveling FAQ Part 31

On May 4, 2016
Reference-based pricing is unquestionably a hot topic in the self-funded industry today. So hot, in fact, that the federal government has taken an active interest in it for the third time now; in its latest FAQ, published just last week (FAQs about Affordable Care Act Implementation, Part 31), the regulators reiterate concerns regarding network adequacy and how it relates to - and regulates - reference-based pricing arrangements.