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In-Network vs Out-of-Network Claims
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Phia Group
Phia Group Media
Empowering Plans Segment 23 - Plans and Conspiracy
On December 6, 2017
Bring your tin foil hats, folks! With today's episode, our hosts (including guest host, VP of Consulting, Attorney Jennifer McCormick) discuss the recent news regarding CVS purchasing Aetna as well as a new opportunity to customize plan document reviews to address different levels of need.
Empowering Plans Segment 22 - The Biggest Threats to Self-Funding: A Lightning Round
On November 21, 2017
In this episode, The Phia Group’s CEO, Adam Russo, Sr. VP, Ron Peck, and Attorney Brady Bizarro discuss the biggest threats to the self-funded industry. From expanded fiduciary liability to stop-loss denials to a real threat to the ACA’s individual mandate, our experts give their thoughts in a fast-paced discussion.
Living in the Now: Prepare for 2018
On November 14, 2017
A new year is approaching, and we are in the middle of renewal season; meaning it’s time for some serious preparation. Making sure your clients are cared for is no easy task; are you prepared to protect your plans, save them money, and grow your own business in 2018?
Empowering Plans Segment 21 - Planning for Stormy Seas Ahead
On November 3, 2017
In this episode, Adam, Ron, and their guest star – VP of Consulting Jennifer McCormick, Esq. – discuss all of the many issues creating waves as it relates to benefit plan documents, and what steps we can all take to safely navigate those waters – including setting sail on The Phia Group Flagship Template!
Empowering Plans Segment 20 - Trumping Costs and Climbing the Hill
On October 19, 2017
With this episode, Adam and Ron welcome back a fan favorite – guest star Brady Bizarro – and discuss the wild and crazy happenings in DC. From contraceptives to cost containment; the impact of fully insured subsidies on self funded plans; and everything in between – this is one lively podcast you cannot afford to miss.
Best Practices for Today's Plan Documents
On October 17, 2017
There’s a reason the law governs how plan documents must be formed and distributed – and it’s that the plan document remains the be-all-end-all of the plan’s and member’s rights. For this reason, it is crucial to ensure that the plan document is compliant to a T, is clear and comprehensible, and is able to contain costs.
Empowering Plans Segment 19 - The Man with the Plan
On October 13, 2017
In this episode Adam and Ron discuss the oft overlooked but – in their opinion – all important plan document. From its purpose to best practices, they discuss why legal compliance, interaction with third parties, and cost containment efforts all start (and end) with the plan terms. Bring a pen and paper – these tips cannot be missed.
The Phia Group's 4th Quarter 2017 Newsletter
On October 13, 2017
The Phia Group is closing up 2017 with impressive numbers! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.
The Stacks - 4th Quarter 2017
On October 10, 2017
This is “The Stacks” from the Phia Group’s 4th Quarter 2017 Newsletter
The Phia Group, LLC is pleased to announce the integration of its Flagship Template
On October 6, 2017
The Phia Group, LLC is pleased to announce the integration of its Flagship Template into its acclaimed Phia Document Management (“PDM”) software, and support for The Phia Group Flagship Template by many leading stop loss carriers.
Empowering Plans Segment 18 - Responsibility - Beyond the Contract
On September 28, 2017
In this episode, Adam and Ron discuss trends impacting health plans, employers, and employees. While these issues, such as the opioid epidemic, may not seem like the biggest costs facing benefit plans today, the long term costs are real. More importantly, issues like these can be identified by examining claims data; but most administrators are not contractually responsible to do so. Adam and Ron discuss why these entities should consider adding such services to their offerings – despite not being the most impactful cost containment option or being a contractual responsibility of the administrator.
It’s Time To Renew – Revisiting Stop Loss Trends
On September 21, 2017
It’s that time of year again – renewal season! What is often overlooked is the type of stop loss carrier to partner with for the next plan year. Stop loss choices are often made just on the premium cost, however plans should look at more than just the price. Stop loss is something most self funded benefit plans rely upon to ensure their financial viability and long term success.
Empowering Plans Segment 17 - Cutting Out Conflict
On September 11, 2017
When it comes to securing stop-loss, too many benefit plans think the ball is only in the stop loss carrier’s court. Today, our hosts explain what plan administrators can do to cut out conflict and tie up loose ends before they suffer a costly loss. Ensuring an ongoing and fruitful relationship between plans and stop loss tomorrow requires intensive work today. Addressing these potential costly issues now will guarantee reimbursements are in the bag later.
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.
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