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Empowering Plans: P114 – Time to Vent!

On July 23, 2021
In one of the most energetic Phia podcasts to date, our Chief Legal Office – Ron Peck, and our Sr. VP of Consulting – Jen McCormick, discuss key mistakes and false beliefs dominating the media, politics, and the general public, before dissecting how those errors have impacted recent rulemaking. If you want to be both entertained and enlightened, this is the must-listen episode!

Empowering Plans: P113 – Ahlborn Revisited

On July 9, 2021
In this episode of Empowering Plans, Rebekah McGuire-Dye and Lisa Hill talk about Medicaid and subrogation & reimbursement. SCOTUS has recently agreed to hear a Medicaid case involving conflicting state court and federal court decisions out of Florida, and whether or not the term “medical expenses” covers ALL medical expenses, or only past medical expenses, for purposes of subrogation & reimbursement. Listen in as Rebekah and Lisa discuss this case and its potential ramifications.

Empowering Plans: P112 – Healthcare Subrogation, The Comeback! Post-Covid Edition

On June 25, 2021
Subrogation Attorneys Cindy Merrell and Maribel Echeverry McLaughlin discuss healthcare subrogation in the post-Covid environment, and the difficulties faced during the international pandemic. What can Plans expect now that the courts are reopening, and drivers are back on the roads, and how Plans can assist in getting higher recovery numbers.

Empowering Plans: P111 – Breaking Down Drug Importation!

On June 11, 2021
In this episode of Empowering Plans, Attorneys Chris Aguiar and Andrew Silverio, discuss some evolving issues and recent developments, including whether a participant can be deemed a plan fiduciary after a third party recovery, and the current state-run of state drug importation programs.

Empowering Plans: P110 – NQTL? MHPAEA?! OMG, IDK!

On May 27, 2021
In this episode of Empowering Plans, attorneys Nick Bonds and Jon Jablon discuss one of the most mysterious topics of the CAA: the Non-Quantitative Treatment Limitation analysis now required by the Mental Health Parity and Addiction Equity Act. Not surprisingly, this analysis is anything but straightforward, and certainly no easy task for health plans – especially with very little helpful regulatory guidance. Jon and Nick are here to talk about what the heck NQTLs actually are, what the analysis entails, and how health plans can best protect themselves from the DOL’s wrath!

Empowering Plans: P109 – The Unanticipated Costs of COVID-19 Testing

On May 14, 2021
In this episode of Empowering Plans, Kelly Dempsey and Kevin Brady, revisit a subject quite popular at the beginning of the pandemic; testing for COVID-19. Plan members don’t have to pay for COVID-19 tests, but group health plans do. Unfortunately, there are no limits in place on how much the plan has to pay for those tests. Listen to this week’s episode to hear about the current state of pricing for these tests, and how we see things shaping up moving forward!

Empowering Plans: P108 – A Win/Win Proposition – Better Quality for Patients, Real ROI for Plans

On May 11, 2021
In this episode of the Empowering Plans Podcast, Tim Callender is joined by Jordan Feldman, the CEO and Co-Founder of Rightway Healthcare, along with Linda Pestana, the Director of HR at Phia. For the past two years, Phia has been a Rightway client, reporting a 6.8X ROI. Tim and Jordan discuss why Rightway got started and how it's delivering a "doctor in the family" experience for all members. Linda also shares the impact it's had on her — both as the HR / Benefits leader and as a direct user of the service. Tune in to hear how Rightway is making an impact!

Empowering Plans: P107 – Updates Employers Need to Know About the COVID-19 Vaccines

On April 30, 2021
As COVID-19 infection rates appear to be trending downwards in most areas in the U.S., employers across the country are hard at work on reopening plans in anticipation of the lifting of most occupancy limitations to slow the spread of the virus. The big question employers are asking themselves is whether to mandate COVID-19 vaccinations for employees returning to the workplace to ensure a safe work environment. Phil and Brady take a deep dive into this issue discussing compliance considerations implicated when considering mandating vaccination as we as explore limitations, risks, and current trends being established by employers that have already reopened.

Empowering Plans: P106 – A No-Surprises Party – The No Surprises Act Dissected

On April 16, 2021
In this episode we welcome back to the mic EVP and General Counsel, Ron Peck, as well as SVP of Consulting, Jen McCormick. These industry legends discuss the No Surprises Act, its likely impact on both the payer and provider industries, and provide listeners with guidance on what they need to do now, to ensure compliance when it goes live.

Empowering Plans: P105 – The Mystery Surrounding COVID-19 Long Haulers: Employment & Benefit Considerations

On April 6, 2021
Legal Compliance & Regulatory Affairs Consultant, Phil Qualo, and Vice President of Consulting, Kelly Dempsey Esq., explore the phenomena surrounding COVID-19 long haulers. Although the term “long haulers” trigger thoughts of cross country truck driving, it has actually been used as a common reference to people who have been infected with the COVID-19 virus and have not fully recovered for weeks, months, and even up to a year after first experiencing symptoms. This episode provides personal insight into the challenges that these long haulers are facing that impact both employer and benefit considerations, including access to disability benefits and health care.

Empowering Plans: P104 – COVID-19 Vaccine Candidates – Vaccinating Vulnerable Populations

On March 17, 2021
In this episode of Empowering Plans, Jen McCormick and Andi Goodman discuss the future of vaccinating vulnerable populations such as pregnant women and children, and the importance of vaccinating children in achieving herd immunity. What are the next steps for expanding vaccine eligibility? What do employers need to know if they are considering requiring their staff to get vaccinated before returning to work?

Empowering Plans: P103 – One Step Forward; Two Steps Back - The Lockdown and its Effect on Children with Disabilities

On March 2, 2021
Join Timothy Pope, an Attorney in the Provider Relations Department, and Garrick Hunt, Phia’s Sales Manager, as they host a candid discussion about the harmful effects that the sweeping lockdown has had on families, and in particular on children with disabilities. Since the closing of most public schools, many children with disabilities have suffered immensely. As a parent of a child with mental disabilities, Garrick dives into his first-hand account of the lockdown’s impact on his family.

Empowering Plans: P102 – CYA: Cover Your Assets

On February 12, 2021
In this episode of the Empowering Plans podcast, Nick and Brady talk through some developing trends in ERISA litigation. Do fiduciary duties apply to the protection of plan data? Could a data breach lead to claims under ERISA and HIPAA? What steps do ERISA fiduciaries need to take? Listen in as we explore where things stand, and where they might be heading.

Empowering Plans: P101 – Groundhog Day - A Year of COVID-19

On February 4, 2021
In this episode of Empowering Plans, join Brady Bizarro and Jen McCormick as they have a conversation about the impact of COVID-19 on employers, health plans, and employees. How should employers be dealing with mental health, physical health, and productivity issues? What steps can health plans take to reduce claims exposure? How are employers planning to return to the office later this year? It may feel like Groundhog Day, but our advice is certainly not more of the same.

Empowering Plans: P100 – President Biden's First 100 Days - What to Expect

On January 22, 2021
In this episode of the Empowering Plans podcast, Ron and Brady discuss the inauguration of President Biden and what his presidency could mean for healthcare policy. With Democrats in control of government, a lot could get done in the first 100 days - on COVID-19 relief, the ACA, and rolling back Trump-era rules. Join us as we break it all down.