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.
Reference-Based Pricing Explained
Unlike traditional “insurance,” like an individual would have through a health insurance marketplace, employer-sponsored self-funded health plans do not have a virtually unlimited pool of money from which they can pay medical claims. Employers choose self-funding since they can…
The cost of insulin has long been a pain point for diabetic Americans. Now a solution may be in sight. The House of Representatives passed an insulin cap bill at the end of March 2022. This bill would…
Transparency in Coverage Compliance? | The Phia Group
By: Kaitlyn MacLeod, Esq. Enforcement is almost here for one of the most cumbersome of the Transparency in Coverage obligations. That’s right – plans need to post their Machine-Readable Files on a publicly available website beginning July 1st. Technically, this…
A Love Letter to Plaintiffs’ Attorneys Everywhere
By: Chris Aguiar, Esq. You know, in the modern information and technological age it is rather easy to forget that we are not in Kansas, anymore, i.e. the 1990s; anything you say or do on the internet can be accessed…
The Baby Formula Shortage and Preventive Care
By: Nick Bonds, Esq. The baby formula shortage in the United States has been worsening for months. Our country’s supply was already squeezed by a perfect storm of pandemic-related supply chain issues and inflation costs. Then, with the detection of…
By: Micah Iberosi-Parnell, Esq. While the leaked Supreme Court opinion overturning Roe v. Wade grabbed all the headlines last week, a recent decision by the U.S. Circuit Court of Appeals for the Sixth Circuit likely has a significant impact on…
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