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.
The Big Elephant in the Room….
By: Michael Branco From day one, over 16 years ago, we have offered overpayment recovery services, but over the last year, I have seen the largest growth in this service. It’s not enough to simply make a call or send…
HIPAA Special Enrollment vs. Section 125 Permitted Election Change – There is a difference!
By: Jennifer McCormick, Esq. An individual may want to adjust their health plan enrollment. For example, if a plan member’s spouse loses plan coverage due a reduction in hours it will likely trigger a HIPAA special enrollment under the health…
Want to improve health care? Focus on hospitals
By Rich Lesser & Barry Rosenberg (CNN) As Congress and the Trump administration debate the future of America’s health care system, they should go beyond the issues of access and cost and recognize an equally important priority: that patients come…
By Emily Rappleye Rep. Tom Price, MD, R-Ga., faced another four hours of cross-examination Tuesday, this time with the Senate finance committee. Grilled by Democrats and lauded by Republicans, Rep. Price’s second hearing comes ahead of a vote that will…
Another Successful Balance Billing Negotiation
Phia received a $167,000 claim from a Surgery Center (Spinal Decompression) where a client tried to negotiate it on their own and were unsuccessful. Phia reviewed the claim and engaged the provider for a settlement. After many exchanges the provider…
The Gap Trap
By: Jon Jablon, Esq. So how ‘bout those stop-loss carriers?! We work closely with some excellent carriers that look for reasons to pay claims and are a pleasure to interact with – but there are also carriers and MGUs out…
Want to keep up with the latest from The Phia Group?
Subscribe to Our Newsletter!
