Phia Group

A True Impact on the Bottom Line – Identifying Current Issues, Implementing Solutions & Seeing Results!

On August 22, 2017
The Phia Group’s legal team frequently addresses the biggest issues impacting the health benefits industry today. Join them as they dissect the conflicts threatening every entity involved in the business of health benefits, and share real life examples of clients who implemented forward thinking solutions… and those that didn’t.

Empowering Plans Segment 16 - In Reference to Reference Based Pricing

On August 22, 2017
This week, Adam Russo and Ron Peck accept that an answer to the high cost of healthcare won’t be coming from D.C., and that health plan administrators (with the help of their partners and advisors) need to address the costs internally. Amongst options to do just that, so-called “Reference Based Pricing” is a hot topic in our industry. Join Ron and Adam as they pick apart this method for containing costs, identify the pros and cons of an “RBP” plan, and discuss options to customize such a program.

Stopping the Bleeding

On August 11, 2017
This week, The Phia Group’s CEO, Adam Russo and Attorney Brady Bizarro interviewed Garrick Hunt, Phia’s Sales Executive, about some of the most common burdens self-funded employers are facing in our industry. From out-of-network claims to air ambulance to specialty drugs, we explore cost-containment strategies and discuss the potential compliance concerns for employers. Finally, we answer a question from our mail bag regarding best practices for handling overpayments.

Empowering Plans Segment 14 - Repeal & Replace Fails: What's Next?

On August 7, 2017
This week, The Phia Group's CEO, Adam Russo, Sr. VP, Ron Peck, and Attorney Brady Bizarro discuss the dramatic events on Capitol Hill and the shocking failure of Senate Republicans to repeal and replace Obamacare. Despite this serious setback, Republicans are not ready to give up. We'll discuss the path forward.

Empowering Plans P13 - Your Friendly Neighborhood Provider

On July 17, 2017
Taking a positive view on the industry, Ron Peck, Jon Jablon and Andrew Silverio today share stories and examples of providers working with payers to preserve the private employer based group health plan industry. From price transparency, to direct primary care, to medical tourism – providers that are willing to innovate and work with payers get their moment in the sun with this episode.

Consulting Headlines – The Hottest Topics in Benefit Plan Administration

On July 13, 2017
Extra! Extra! Have you heard the news? Laws are changing, regulations are shifting, and benefit plans are scrambling to keep up.

The Phia Group's 3rd Quarter 2017 Newsletter

On July 11, 2017
The Phia Group is seeing exponential growth in 2017! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.

Empowering Plans Segment 12 - The Cost of Care

On July 10, 2017
This week, The Phia Group's CEO, Adam Russo and Sr. VP, Ron Peck, interviewed Attorney Jon Jablon - Director of Provider Relations, regarding the seemingly increasing number of excessive charges being billed by providers to health plans, strategies to cut costs, and importantly - ways to work with providers rather than against them, in an effort to implement an arrangement that works for all involved.

The Stacks - 3rd Quarter 2017

On July 7, 2017
This is “The Stacks” from the Phia Group’s 3rd Quarter 2017 Newsletter

Empowering Plans Segment 11 - The Senate Unveils its Repeal & Replace Bill

On June 22, 2017
In this special edition of the Empowering Plans podcast, Sr. Vice President and General Counsel Ron Peck and Attorney Brady Bizarro give their initial thoughts on the Better Care Reconciliation Act. What is in this new bill? What does it mean for the self-funded industry? What is next for healthcare reform?

A Network by any Other Name

On June 22, 2017
PPOs, EPOs, HMOs… The days of simple network categories is past. Today, innovative providers are offering up-front transparent pricing, subscription-based direct primary care (DPC), value based pricing, ACOs, medical tourism, international prescription plans, on-site clinics, telemedicine and direct contracting with “centers of excellence.”

Empowering Plans Segment 10 - Plan Tales: The Good, Bad, and Really Bad

On June 19, 2017
In this episode, Adam Russo and Ron Peck interview two key members of The Phia Group’s consulting division – Vice President of Consulting, Attorney Jennifer McCormick, and Product Developer, Kristin Spath. These two have tales to tell, regarding their experiences helping clients with unusual questions, and transforming outlandish ideas into real benefit plan innovations.

Empowering Plans Segment 09 - In the Land of the Blind

On June 12, 2017
The Congressional Budget Office (“CBO”) has released its assessment of the American Health Care Act (Version 2.0), and once again the focus seems to be on who will lose insurance, gain insurance, and change insurance. Yet, as lawmakers stumble with blinders on, addressing only the matter of insurance, other important factors – such as the actual cost of care itself – remains conspicuously absent.

Empowering Plans Segment 08 - Healthcares? Alternative Provider Payment Programs

On May 22, 2017
The Phia Group’s CEO, Adam Russo, and Sr. VP & General Counsel, Ron Peck, discuss movements within the healthcare provider community to change how they charge (and receive payment) for services rendered. For better or worse, change is on the way!

Keeping PACE with Appeals, Trends and Fiduciary Responsibility

On May 22, 2017
As TPAs, consultants, and Plan Sponsors utilizing The Phia Group's Plan Appointed Claim Evaluator service, you are entitled to exclusive educational material.