The Real Cost of NSA Arbitration
An In-Depth Review of More Than 1.25 Million Federal Disputes
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.
AI in Healthcare: Innovation, Risk, & Regulation
By: Nick Bonds, Esq Artificial intelligence is rapidly transforming the healthcare landscape—touching everything from how drugs are developed to how care is delivered and how claims are processed. For self-funded plans and their partners, AI presents meaningful opportunities to improve…
Stopping Soaring Stop-Loss Rates
By: David Ostrowsky As employers across a wide swath of industries gravitate towards adopting self-funded health plans, the demand for stop-loss protection has naturally mushroomed. After all, an employer going down the self-funded road that passes on stop-loss is taking…
States Slashing H.I.V. Drug Programs Amid Budget Deficits
By: David Ostrowsky Over one million Americans live with H.I.V. and nearly 25 percent of them rely on the Ryan White AIDS Drug Assistance Programs, otherwise known as ADAPs, to manage their conditions. These federally-funded assistance programs are a life-saver…
By: Bryan M. Dunton, Esq. Prescription drug costs remain one of the most visible challenges for employer-sponsored health plans and the employees who rely on them. Over the past several years, policymakers have increasingly focused on pharmacy benefit managers (PBMs),…
National NSA Report on Aggressive Provider Billing
By: David Ostrowsky Though the No Surprises Act (NSA) was designed to safeguard patients against receiving unexpected medical bills, it has become apparent that certain trends within the corresponding Independent Dispute Resolution (IDR) process may be contributing to increased costs…
Inverting the Food Pyramid: HHS Does a 180 on Nutrition
By: Kate MacDonald For decades, American students have learned about the value of the food pyramid in schools, sitting in their health class, listening to lectures about how proper portion control and a sensible diet can lead to good health….
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