• Empowering Plans
    Since 1999
Welcome to The Phia Group
The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan document drafting, subrogation and overpayment recovery, claim negotiation, and plan defense designed to control costs and protect plan assets.  

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Learn with Us

Confront the issues that impact our industry by addressing conflicts that threaten plan operations and viability, coordinating relationships, and providing legal guidance.

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Plan With Us

“Setting the Industry Standard for Plan LanguageTM” by combining cutting edge technology with forward thinking creativity, and a client-centric customized approach.

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Save With Us

Offer flexible service options driven by client needs, leverage innovative methods and proprietary technology to identify more opportunities and master applicable laws, yielding results unmatched by anyone else.

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Protect The Plan

Protect forward-thinking plan sponsors against unjust claim costs and fiduciary liability, while protecting participants against balance billing.

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Eliminate your Wrap Network today with Phia Unwrapped
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What others are saying
  • “I would like to congratulate both of you and everyone at The Phia Group for sponsoring the most beneficial conference I have attended in years. Fortunately, I brought my management team as well and they were exposed to a wealth of information and expertise firsthand, in an amazing setting. The opportunity was afforded due to your generosity and passion for our industry, and I am confident your efforts will continue to be recognized and appreciated going forwards. I have become acquainted with your team, primarily from attending other conferences and through our association with PHX. You have assembled an extraordinary staff of highly-motivated, dedicated, and talented employees, which was obvious to everyone who attended this meeting, and I look forward to partnering with The Phia Group to provide additional value to our organization as well. Congratulations on 10 successful years, and thank you again for all you are doing to promote and strengthen the self funded industry.”

    Marilyn PalmieriPresident, CEO
    HealthCare Solutions Group, Inc.
  • “We appreciate being a client. Your group does everything first class and we can depend on the information and service. Loved the seminar and we are excited to have the follow-up access and answers to the questions that were posed. Keep up the “excellent” work on behalf of the industry”

    David W. SmithPresident
    INTEGRA Administrative Group
  • “The Phia Group is one of our most active and engaged members. The company consistently supports the association in a variety of ways and by doing so has established itself as an industry leader.”

    Mike FergusonChief Operating Officer
    Self-Insurance Institute of America, Inc.
Phia Spotlight
Passion For Subro Blog

CMS adds new quality measures to nursing home star ratings

Thu, 11 Aug 2016 18:45:13 +0000

By Elizabeth Whitman The CMS has added five new measures that are being gradually factored into its nursing home star ratings intended to help consumers research and compare the quality of facilities. Read more…

Press Ganey to be bought by private equity firm for $2 billion

Wed, 10 Aug 2016 17:49:54 +0000

By Maria Castellucci (Story updated at 12:33 p.m. ET) Press Ganey, the healthcare consulting firm, announced Tuesday that it will be acquired by Swedish private equity firm EQT in a $2 billion deal. Under terms of the agreement, the private equity firm will pay $40.50 a share for Press Ganey’s stock. Read more…

Register Now for The Phia Group’s August 2016 Webinar!

Wed, 10 Aug 2016 17:43:08 +0000

Unwrapping Your Wraps Tuesday, August 23rd, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now! Wrap networks provide plans with discounts off billed charges for claims that don’t fall within the plan’s primary network. But do these wraps really add value? With skyrocketing provider charges and static discounts off of those charges, the modern-day wrap network doesn’t seem to provide much help when it comes to claims costs. Join The Phia Group’s legal team for an hour at 1:00pm EST on Tuesday, August 23rd, as we analyze provisions of wrap network agreements, with a focus on what plans can or can’t do to cut costs. We’ll propose some innovative ways for your plans to save additional money above and beyond wrap networks, generating unprecedented value for your plans. Join Us – Register Now! ATTENTION: If you do not receive a confirmation email shortly after registration with webinar log-in details, check your spam filter.

The big ObamaCare bubble

Wed, 10 Aug 2016 15:00:22 +0000

Bryan Rotella, contributor Editor’s note: The opinions in this article are the author’s, as published by our content partner, and do not necessarily represent the views of MSN or Microsoft. “No one can see a bubble. That’s what makes it a bubble.” That was Christian Bale’s character’s summation of a market bubble in last year’s hit movie “The Big Short,” which chronicled the few investors who saw the signs pointing to the mortgage market collapse. With terrorism, email scandals and race relations dominating the headlines, has a healthcare bubble been filling up quietly behind the scenes? Read more…

Texas Judge Refuses To Dismiss Health Insurance Provider Fees Case

Wed, 10 Aug 2016 13:21:40 +0000

By Timothy Jost Implementing Health Reform (August 9 update). Health insurance premiums in the individual market, including qualified health plan (QHP) premiums in the marketplace, are age rated — the older you are, the more you pay. Obviously, each of us is one year older at the end of a calendar year than we were at the beginning. In general, however, individuals who remain in the same health plan throughout a year retain the age rating that they had when the plan year began. But what happens when QHP enrollment changes during the plan year? Read more…

GOP-led states reject Obama administration’s proposed limit of short-term health plans

Wed, 10 Aug 2016 13:19:44 +0000

By Virgil Dickson Republican-led states are pushing back on a federal proposal to limit the use of short-term health plans. The Obama administration aims to move more healthy people into the Affordable Care Act marketplace by limiting cheaper but less-robust coverage options. Read more…

31 recently unsealed false claims cases: 5 takeaways

Tue, 09 Aug 2016 13:10:06 +0000

Written by Ayla Ellison Thirty-one healthcare lawsuits filed under the qui tam, or whistle-blower, provisions of the False Claims Act have been unsealed since April, according to a report by Mintz Levin’s Health Care Enforcement Defense Group. Here are five things to know about the recently unsealed cases. Read more…

An Rx for the Affordable Care Act

Mon, 08 Aug 2016 19:20:49 +0000

By Editorial Board OF ALL the big health-insurance companies, Aetna may have been the last anyone expected to pour cold water on Obamacare. The company has over the past several years enthusiastically participated in the marketplaces the law created. Now, Aetna just announced, it is canceling plans to expand its Affordable Care Act (ACA) business and reviewing its existing products. Read more…

Hospital execs earn bigger bonuses as value-based care takes hold

Mon, 08 Aug 2016 19:16:39 +0000

By Joseph Conn Value-based care has settled into the C-suites of the nation’s hospitals and health systems. And as executives’ compensation continues to soar, more is coming from performance-based payment models that aren’t just linked to individual efforts and outcomes, but also the efforts of their organizations. Read more…

CMS penalizes 2.6k hospitals for high readmissions: 5 statistics

Thu, 04 Aug 2016 18:39:18 +0000

By Brooke Murphy In fiscal year 2017, CMS will withhold $528 million in Medicare reimbursements to hospitals with higher-than-expected readmission rates as part of the Hospital Readmissions Reduction Program, reports Kaiser Health News.

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