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 Stewardship of Hospitals
By: David Ostrowsky Hospitals, ambulatory surgery centers, long-term care facilities, primary care physician practices, nursing homes, hospice care. They are the most indispensable institutions of any functioning society, but unlike a Fortune 500 company or professional sports franchise, the identity of…
Marietta Memorial Hospital Employee Health Benefit Plan v DaVita Inc. – Dialysis Carve-Out
By: David Ostrowsky In one of last month’s momentous Supreme Court cases, Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita Inc., the justices confronted the legal question of whether the health plan covering employees of a small Ohio hospital…
Artificial Intelligence in Healthcare
Modern health providers have increasingly started to use artificial intelligence (AI) to reshape patient care, processes and the very fabric of the industry. Worldwide, the market size for AI in healthcare may be worth $188 billion by 2030. To paint you…
The End of a (Brief) Era
By: David Ostrowsky It was a nice feel-good story of corporate America helping the commonfolk. Five years ago, Walmart, the multi-billion-dollar retail behemoth, opened its first-ever health clinic in Georgia. Soon, dozens more Walmart-sponsored clinics started opening their doors across…
Health Plan Changes After a Merger
By: Kevin Brady. Esq. While businesses that are considering a potential merger or acquisition have a lot on their plates, one thing that should always be addressed is the impact that the transaction may have on the benefit plans of…
Understanding IDR | Key Insights on the No Surprises Act
By: Jon Jablon, Esq. It seems like every day that The Phia Group’s consulting team is presented with an IDR-related issue brought up by either a provider in an appeal or simply a TPA trying to iron out or streamline…
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