Phia in the News

David Ostrowsky analyzes the Sixth Circuit’s decision in Tiara Yachts v. BCBSM and its far-reaching implications for self-funded plan sponsors and their TPAs. He highlights how the ruling underscores the critical need for sponsors to scrutinize claims administration practices, provider…

Ron E. Peck argues that while self-funded health plans now cover more Americans than ever, they remain poorly understood by many employers, employees, and policymakers. He stresses that misconceptions about risk, regulation, and administrative complexity prevent organizations from fully leveraging…

Kendall Jackson examines the obligations imposed by Business Associate Agreements (BAAs) through the lens of CareNexa, LLC v. Ntirety, Inc., a case highlighting alleged failures to safeguard protected health information and honor indemnification provisions.

David Ostrowsky explores the rising costs and limitations of GLP-1 weight-loss drugs, warning of their financial strain on self-funded health plans. He points to seafood as an overlooked but powerful tool in obesity management, citing its high protein, omega-3 fatty…

Jen McCormick outlines critical compliance considerations for self-funded health plan sponsors in 2025. She emphasizes the heightened importance of fiduciary responsibilities amid increased regulatory scrutiny and potential litigation, advising sponsors to proactively manage plan fees, vendor relationships, and documentation to…

David Ostrowsky discusses the potential widespread effects of proposed Medicaid funding reductions. The article highlights concerns that such reductions could strain the broader healthcare system and affect the financial stability of various healthcare entities.