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In-Network vs Out-of-Network Claims
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Phia Group
Phia Group Media
The Business of Benefits
On May 18, 2023
Those who service health benefit plans are usually focused on delivering the most robust coverage for the least cost. Yet, all too often we forget that our industry, like any other, only thrives when our own businesses prosper. From adjustments to a post-pandemic environment (and employee populations working remotely from numerous locations), to conflict resolution between entities (such as disputes between plans, stop-loss, and TPAs over reimbursement of fees for savings and management of the NSA), join The Phia Group as we discuss the current events and case studies that will impact whether your own organization sinks or swims.
Before and After – Examples of Mistakes that Were Addressed and How to Avoid Them
On April 20, 2023
Accidents happen, but they aren’t all inevitable. Often, errors that lead to conflicts and costly outcomes could be avoided. Join The Phia Group’s team as they dig into real case studies, and share examples where The Phia Group was called upon to address some avoidable losses, as well as compare them to scenarios where the proper preemptive steps were taken. This April, remember what Benjamin Disraeli said: "The fool wonders; the wise man asks." Register today for this free and informative webinar!
An Omnibus Edition to Kick Off 2023
On January 19, 2023
It’s only January, but 2023 already promises to be a momentous year in healthcare law. From the recent passage of The Consolidated Appropriations Act of 2023—and its inclusion of protections for pregnant and nursing mothers—to regulatory updates regarding the No Surprises Act and manufacturer assistance programs, there’s quite a bit to break down as the new year unfolds. Join The Phia Group’s panel of experts as they discuss how such sweeping changes will impact your group’s health plan.
A Flip of the Calendar: Looking Ahead to Healthcare in 2023
On December 13, 2022
With a new year comes new developments in healthcare — and 2023 will be no exception. While ever-increasing healthcare costs remain at the forefront of our attention, landmark healthcare legislation — in particular, the No Surprises Act (“NSA”) — continues to cause unforeseen issues for health plans and stop-loss carriers. Additionally, evolving business trends involving mergers, acquisitions, and investments from non-traditional entities promise to impact the industry. Join The Phia Group’s panel of cost containment experts as they look ahead to the challenges and opportunities that await us next year.
Down the Stretch: Wrapping up a Historical 2022
On November 15, 2022
We are entering the home stretch. With a couple months to go, we can confidently say that 2022 has been one of the most momentous years in the history of American healthcare. The Phia Group’s panel of experts will revisit what they feel were the ten most impactful healthcare developments of 2022, covering a broad swath of topics that includes price transparency (the Consolidated Appropriations Act and No Surprises Act), governance (state laws that preempt ERISA), and equitable benefit coverage (Mental Health Parity and Addiction Equity Act). Who knew one year could have such a profound impact on our industry? Join the fun and find out how impactful 2022 has been.
The Witching Hour for Healthcare Plans
On October 20, 2022
Quite a few treats are in store for those tuning into The Phia Group’s next webinar, one that will cover some tricky topics. From breaking down regulatory changes impacting the healthcare industry (i.e., mental health parity, discretionary authority) to developments concerning plan drafting language, Phia’s roundtable of experts will keep you in the know. Oh, and did we mention that there’s also going to be a discussion of what to expect from a health policy standpoint in next month’s midterm elections?
A Prescription for Success? The Unknown Impact of Recent Legislation on Prescription Expenses
On September 15, 2022
The Inflation Reduction Act, signed into law by President Biden last month, includes provisions to lower prescription drug prices for Medicare recipients. But what about most Americans who are on employer-sponsored plans? Could they be adversely affected by pharma companies potentially elevating prices in response? In its next webinar, The Phia Group takes a deeper dive into the residual effects of this landmark act on your plan—as well as how the recent Johnson & Johnson lawsuit involving patient assistance programs may heighten the risk for companies using such PAPs. For good measure, Phia’s panel of experts will also provide an update on final rules just released regarding the No Surprises Act.
Unfinished Business: Legal Fallout Leaves Plans in Limbo
On August 18, 2022
Do you feel that Dobbs is already history? Does Build Back Better feel like old news? If so, think again! The domino effect of the Supreme Court’s recent decision is still raging across the country. Executive orders, legal challenges to state laws, and a deal to pass a massive healthcare bill should all be on your radar. The Phia Group is monitoring all of these developments in real time and in our new webinar we will reveal what you need to know to stay compliant.
Supreme Decisions – A Proactive Approach for Health Plans to Dobbs and Marietta
On July 19, 2022
The U.S. Supreme Court may be in recess until October, but its landmark healthcare rulings over the past month continue to reverberate across the country and across our industry. These decisions will have strong implications for plan sponsors in particular and The Phia Group is here to explain how your health plan, and its administrators, may be affected by these momentous developments. Please join us as we delve into such current affairs (not to mention history in the making) from a unique healthcare cost containment perspective.
Fiduciary Liability & The No Surprises Act | The Phia Group
On May 24, 2022
View our full webinar with a candid roundtable discussion on what the Fiduciary Liability and No Surprises Act is and how they continue to evolve.
Healthcare Opportunities and Concerns | The Phia Group
On April 19, 2022
Learn about case studies and recent developments in the healthcare industry from relationships to regulations, from plans to politics and more.
Tune in to Win – Are You Ready for 2022?
On January 25, 2022
Learn more about litigation to political developments, regulatory developments to procedural best practices and more with The Phia Group in this podcast.
The 11th Hour - Last Minute Moves to Make for 2022 as a New Era in Cost Containment Begins
On December 13, 2021
Learn about what the new era of cost containment will bring in 2022 and how to prepare for increased regulatory attention and enforcement.
Act Now, Plan Ahead – The 2021 Endgame and 2022 Outlook
On November 16, 2021
Did you start 2022 on the right foot? Learn about the No Surprises Act and transparency, threats posed by prescription drugs and rehab facilities, and more.
A Spooky Surprise: NSA Regulations on IDR Released
On October 19, 2021
Are you aware of the No Surprises Act rules on independent dispute resolution? Learn about its implications for claims and appeals with The Phia Group.
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