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Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
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Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
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Phia Group
Phia Group Media
The Phia Group's 3rd Quarter 2018 Newsletter
On July 10, 2018
The Phia Group is off to a great start in the third quarter of 2018! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.
The Stacks - 3rd Quarter 2018
On July 9, 2018
This is “The Stacks” from the Phia Group’s 3rd Quarter 2018 Newsletter
Empowering Plans: P46 - You’ve Gotta Fight, For Your Right, to Try!
On June 29, 2018
In our first-ever video podcast, join us as we explore the implications of the recently passed Right To Try Laws on health benefit plans. Tune in to understand the actions you need to take.
Empowering Plans: P45 - Super-Empowerment
On June 22, 2018
Join us as we sit down with Brooks Goodison, President & Principal Partner at Diversified Group, winners of The Phia Group’s Most Empowered Plan award. Discover Brooks' innovative insights, from internal strategies to industry advocacy efforts, in this insightful episode.
Final Rule on Association Health Plans and YOU: Phia's Take
On June 21, 2018
On Tuesday, June 19th, the Department of Labor issued a final rule on Association Health Plans. Supporters claim the rule will allow millions of Americans to access more affordable coverage options. Critics contend that it will reduce patient access and weaken the insurance markets, leading to increased costs for all. Join The Phia Group's legal team in this special edition webinar in which they will break down the final rule and explain the significant impact it is expected to have on the self-funded industry.
The Buck Stops…Where? Pointing Fingers in the Self-Funded Industry
On June 12, 2018
In a financial climate where saving money has to be made a top priority, so many entities within the insurance industry have fallen victim to someone trying to shift blame onto them. Regardless of fault, it’s in everyone’s best interests to work together to overcome issues rather than point fingers – but it’s not always that simple.
Empowering Plans: P44 - The Phia Group “MVP” Post-Mortem
On June 12, 2018
Tune in as our hosts recap the Phia Group MVP forum at Gillette Stadium, home of the New England Patriots. From insightful discussions to client feedback and amusing coincidences, this episode of Empowering Plans is a must-listen for attendees and enthusiasts alike.
Empowering Plans: P43 - A Debrief of SIIA’s Fly-In on the Hill
On June 1, 2018
Join Adam, Ron, and Brady as they share insights from their impactful trip to Washington, D.C. Hear about their participation in SIIA’s “Fly-In” event, where they engaged with elected officials on critical self-insurance/captive insurance matters. Discover how they championed self-funded health plans, TPAs, and advocated for the Senate's Self-Insurance Protection Act.
Empowering Plans: P42 - Eliminating the Noise
On May 29, 2018
In this episode, Adam, Ron, and Brady interview David Contorno, President of Lake Normal Benefits. They discuss emerging trends in the industry; from reference-based pricing to direct primary care. They also address the incentive problem and how HSAs are harming the health insurance industry.
Empowering Plans: P41 - The Case for Collusion (Continued)
On May 24, 2018
Join The Phia Group’s Sr. VP, Ron E. Peck, and healthcare attorney Brady C. Bizarro as they answer the questions that you asked during our webinar on PBMs, specialty drug prices, and lawsuits alleging fraud.
Empowering Plans: P40 - Reference Based Pricing - Yeah, You Know Me
On May 17, 2018
In this episode, The Phia Group chats once again with one of their Partners in Empowerment, Gregory S. Everett, President and CEO of Payer Compass. Greg addresses all of our hosts’ questions regarding reference based pricing, balance billing, the value of physician networks, and the future of RBP.
The Case for Collusion: How the Power Players May Have Defrauded Us All
On May 15, 2018
At long last, after a lengthy investigation, we are ready to present the allegations of collusion. It is alleged that powerful forces have been working together in a complex scheme to mislead us. To be clear, we are talking about Big Pharma and certain PBMs. A new class action lawsuit has been filed against CVS Health alleging that it knowingly colluded with PBMs to raise generic drug prices. The claim is that health plans and consumers alike have been overpaying for drugs. We have seen this playbook before. This time, however, there is potential for TPAs and their groups to join the lawsuit to recoup funds allegedly overpaid to CVS. Join The Phia Group’s Special Counsels for an hour as they share reports on this alleged fraudulent scheme and discuss the ways in which our industry can fight back and tackle the underlying problem of specialty drug prices.
Empowering Plans: P39 - Everything's Bigger In Texas!
On May 7, 2018
In this episode, our hosts interview Third Party Administrator, visionary, and industry expert – Caprock Healthplans’ own Executive Vice President, John Farnsley – as we review some of his recent talking points, cover where he thinks the industry is headed, and dissect the biggest issues he thinks will impact everyone involved.
Empowering Plans: P38 - A Labor of Love?
On April 24, 2018
In this episode, Adam, Ron, and Brady interview in-house specialist, VP of Consulting Attorney Jennifer McCormick, and discuss the many complicated issues surrounding surrogacy, and the costs for which benefit plans may be responsible. What can be denied? What must be paid? Why is this a threat? What can we do to avoid it, or at least minimize the risks? Listen and find out!
4 Horsemen of the Plan-pocalypse
On April 19, 2018
Nostradamus? Miss Cleo? The Phia Group? In a psychic feat of foresight, The Phia Group’s team has gazed into their crystal ball and identified four issues that may not presently be keeping you up at night, but will certainly be disturbing your slumber very soon. From being forced to pay for surrogate pregnancy and births, to the IRS actively issuing letters notifying employers of 2015 tax year penalties; from a new wave of fraud, errors, and abuse leading to heretofore unseen overpayments, to case law addressing the rights of plans to utilize reference based pricing – you’ve been warned! We predict this complimentary webinar will open your eyes. Miss this webinar at your own peril… You’ve been warned!
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