The Phia Group Blog
Welcome to The Phia Group Blog, your source for cutting-edge insights into health plans, cost containment, and industry regulations updates. We break down top stories and trends, share actionable strategies, and provide expert perspectives to help you stay ahead.
Protecting the Most Vulnerable
By: Corey Crigger, Esq. In February 2022, we received a balance bill referral that was truly exceptional, but for all the wrong reasons. Our client received a staggering bill of over $675,000.00 after a premature delivery with major complications resulted…
Wegovy: The Heart of the Matter
By: David Ostrowsky Obesity adversely impacts upwards of 100 million adults in the US and accounts for nearly $150 billion in annual health care spending, yet health insurers have been reluctant to cover high-priced weight loss drugs, ones they frequently…
The Power Dynamics of Gag Clauses
By: Jon Jablon, Esq. In the already-intricate world of health benefits, Congress passed the Consolidated Appropriations Act, 2021, which is notable to the self-funded industry for three main reasons: it expanded the Mental Health Parity and Addiction Equity Act to…
Expanding Protections for Breastfeeding Mothers
By: Kendall Jackson So far this year, we have seen two notable advancements in protections for breastfeeding mothers in the workplace. The first of which includes the expansion of women’s preventive services under the Affordable Care Act (ACA). Based on…
Diapers & Wipes Reflection
By: Desireé Erskine My name is Desireé Erskine and I have been at The Phia Group for the past 17 years, the last 10 of which I have spent as an Overpayment Recovery Specialist in the Provider Relations Department. As…
Benefest 2023: Talking Costs and Laws with Carriers
By: Jessie Boyle and David Ostrowsky By March, amidst the snowbanks contracting and days growing incrementally longer, conference season – at least for the healthcare industry — is in full bloom. One of the marquee Massachusetts-based healthcare conferences, Benefest 2023,…
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