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.
A House Divided
By: Ron E. Peck, Esq. In the world of self-funding, everyone plays a role. The broker advises, the employer customizes their plan and funds it, the claims administrator (TPA, ASO, etc.) processes claims, and stop-loss provides financial insurance. When the…
Reverse Medical Tourism
By: Jen McCormick, Esq. On the way home to Boston from a recent international family vacation, I had the pleasure of sitting next to a young gentleman. He was very friendly and didn’t seem to mind a wiggly toddler so…
Reference-based Pricing: Decisions, Decisions…
Jon Jablon, Esq. Self-funding is growing. There’s no question about that. As medical costs continue to skyrocket, there are certain trends in the industry that have increased in popularity to try to combat the ever-growing costs. One of those trends…
By Brady Bizarro, Esq. Most employers and workers alike are familiar with the federal Family and Medical Leave Act of 1993 (“FMLA”). The law requires employers to provide twelve weeks of unpaid, job-protected leave for an employee’s own…
I negotiate healthcare claims and I have been doing this off and on for nearly 15 years, so I have learned a few things along the way. Lately, I am picking up on an uptick of a trend with providers…
Can’t We All Just Get Along?
By: Chris Aguiar, Esq. It always baffles me when sides whose interests should be very well aligned can’t seem to get on the same page. The Right and the Left blame each other for the problems in America. Payers chastise…
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