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.
Assignment of What, Exactly?
Jonathan A. Jablon, Esq. If you’ve ever been disgusted with how much the BUCAs charge for health insurance premiums, you’re not alone. If you’ve ever wondered how the BUCAs determine their premiums and whether they’re limited, a case decided in…
Background Texas General Hospital is a private, acute care facility located in Grand Prairie, Texas. It is outside of UnitedHealthcare’s (“United”) provider network. In January of 2015, Texas General was the subject of intense scrutiny after a FOX 4 investigation…
Employer-sponsored Plans Should Prepare to be Taxed
By: Brady Bizarro, Esq. The latest news in the repeal and replace saga is that congressional Republicans are pushing to get a bill to the Senate by the end of this month. The ambitious timeline means that lawmakers and independent…
…Is what a Hospital VP of Accounts Receivable said to me when I called to discuss a reference-based pricing (RBP) claim that was referred to The Phia Group for handling. Upon review, the health plan had issued a reasonable percentage…
The Guilty Shall Remain Nameless – Yet I shall Shame Them… Again
By Tim Callender, Esq. In this second installment of “The Guilty Shall Remain Nameless” I can’t help but think back to an encounter I had with a walk-in clinic in Las Vegas, Nevada. Now… it’s worth noting that any walk-in…
4 main tenets of the GOP’s ACA replacement plan
By Emily Rappleye House Republicans gathered Thursday to discuss a policy memo detailing their ACA replacement plan, according to The Washington Post. While the meeting put many rank-and-file members at ease, they said the details presented at the meeting did…
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