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Understanding Non-Quantitative Treatment Limitations (NQTLs)
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In-Network vs Out-of-Network Claims
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The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
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In-Network vs Out-of-Network Claims
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Phia Group
Phia Group Media
The Stacks - 2nd Quarter 2019
On April 19, 2019
This is “The Stacks” from the Phia Group’s 2nd Quarter 2019 Newsletter
Faces of Phia: Episode 11 - Reminiscing with Andrew
On April 17, 2019
In the latest episode of Faces of Phia, Adam and Ron reminisce on Andrew Silverio's Undergraduate adventure. Tune in for an episode filled with trips down memory lane, international drug importation, and predictions about the future of prescription drugs!
Empowering Plans: P69 – A Healthcare Free-for-All
On April 12, 2019
Join Adam, Ron, and Brady for a healthcare free for all where they tackle the most pressing issues facing our industry, including surprise emergency room bills, drug pricing, medical necessity, and employee incentive programs.
Faces of Phia: Episode 10 - Tales From The Lost Filing Room
On April 5, 2019
In the latest episode of Faces of Phia, Adam and Ron dig up tales from the days of old with future industry leader and veteran employee, Amanda Grogan. Tune in for an episode filled with trips down memory lane, tests of knowledge, and a Rumspringa?
Empowering Plans: P68 – Breaking News - Federal Judge Blocks Expansion of AHPs
On March 29, 2019
Last night, a federal judge in Washington, D.C. ruled that the Department of Labor’s new rules that expanded the sale of association health plans (“AHPs”) violate existing law. Those rules applied to fully-insured AHPs in September 2018, to existing self-funded AHPs in January 2019, and would have permitted new self-funded AHPs on April 1, 2019. If this ruling stands, it will have a significant impact on the self-funded industry. The Phia Group will have extensive analysis of this decision in the coming days. For now, join Adam and Brady as they unpack this 43-page order and discuss what it all means for employers, TPAs, brokers, and the broader industry.
Empowering Plans: P67 – Employee Takeover: Self-Funded Health Plans from the Member's POV
On March 26, 2019
Listen in as The Phia Group’s Marketing & Accounts Manager, Matthew Painten, and Compliance & Regulatory Affairs Consultant, Philip Qualo, dissect Phia’s very own Self-funded health plan. These guys aren’t holding back and you don’t want to miss out on this podcast!
Transparency: A Building Block of Self-funding
On March 14, 2019
Whether from unpredictable provider charges, “black box” claims repricing, mysterious PBM rebates, or unobtainable claims data, entities operating in the self-funded space such as employers, TPAs, brokers, and stop-loss carriers have been forced to deal with a systemic lack of transparency.
Empowering Plans: P66 - Bigger in Texas
On February 28, 2019
Join The Phia Group’s Ron Peck and Brady Bizarro as they discuss Brady’s recent trip to Austin and presentation at the Texas Association of Benefit Administrators; with a focus on employee engagement, new ideas for cost containment, and an in depth analysis of pending litigation challenging the legality of ObamaCare. Yeah… You’ll want to tune in for this one.
Faces of Phia: Episode 9 - Taking Account with Lisa T!
On February 19, 2019
In this episode of Faces of Phia, Adam and Brady interview the superpowered controller of The Phia Group. From adventures in the Steel City to conquering “nice problems to have,” the team covers it all in this candid discussion.
Empowering Plans: P65 - Hail to the Chief!
On February 15, 2019
In this can’t miss episode of Empowering Plans, Brady and Ron dissect the President’s State of the Union Address, and focus in on how it will impact those of us servicing health benefit plans – and the entire healthcare industry. This one is going to be huge.
What We Love About Self-Funding in 2019
On February 14, 2019
Valentine’s Day is upon us, and we’re feeling the love. Too often we, as an industry, spend our time discussing issues, problems, and concerns, and don’t dedicate enough time to the features and opportunities that make self-funding great. We focus so much on “how we save” self-funding, that we forget to celebrate the reasons why self-funding is worth saving in the first place. Join the team as they discuss what makes self-funding such a great option for so many employers and employees, as well as the incredibly cool new innovations rolling out in 2019, that will be sure to make self-funding a sweetheart for even more employers this year and beyond.
Faces of Phia: Episode 8 - It’s Tomasz Time!
On February 8, 2019
Live from Polska – a journey around the world leads to… The Phia Group. Join Adam and Brady as they take a journey through history and across oceans, to share the story of this unsung hero.
Empowering Plans: P64 - Hospital Transparency!
On February 5, 2019
Let’s Escargot & Meet LCARA: In this episode Ron and Brady discuss the new legal compliance and regulatory affairs team (“LCARA”) with team member Philip Qualo, and specifically address recent efforts to promote hospital transparency.
Faces of Phia: Episode 7 - Ashley Turco… International Agent of Security!
On January 30, 2019
In this episode, the crew once again sit down with a valued team member, whose role sit at the crossroads between technology and healthcare. Ensuring that the privacy and security issues hounding all businesses don’t threaten The Phia Group as it leverages technology to better serve its clients, Ashley is unique not only at the company – but industrywide. Listen in to find out why, and what you need to do to get her seal of approval.
Empowering Plans: P63 - Touchdown!
On January 25, 2019
How payers, providers, and those of us who serve them, can work together as a team and achieve a winning plan for the future of healthcare. In this episode, Adam, Ron and Brady, talk about how providers – like plan sponsors – are concerned with the state of things and want to identify what’s wrong, what’s right, and how we can collaborate on a new approach that works for us all, as members of a single industry – healthcare.
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