Phia Group

The Double-Edged Sword of Discretion: How Even Great Plan Document Language Can Cause Gaps in Coverage

On April 27, 2017
Nearly all Plan Documents have some mention of discretionary authority. The ability to interpret the terms of the plan is necessary to receive deference from the courts, and is needed since not every conceivable scenario can be planned for within the plan document.

Empowering Plans Segment 06 - An Employer Call to Action

On April 25, 2017
A podcast dedicated to employers. Our goal is to show employers what they can do to improve their health plan and plan performance, without relying on third parties. It’s time for employers to get into the game!

The Phia Group's 2nd Quarter 2017 Newsletter

On April 21, 2017
The Phia Group is off to a good start in 2017! Check out our newsletter to get acquainted with some of the latest happenings in our neck of the woods.

The Stacks – 2nd Quarter 2017

On April 14, 2017
This is “The Stacks” from the Phia Group’s 2nd Quarter 2017 Newsletter

Empowering Plans Segment 05 - The AHCA Failed: Where To Next?

On April 4, 2017
Join The Phia Group's CEO, Adam V. Russo, Sr. VP, Ron E. Peck, and Attorney Brady Bizarro as they discuss the recent, stunning failure of the GOP's American Health Care Act, the most recent news and predictions on the effort to repeal and replace the ACA, and what this all means for the self-funded industry.

The Phia Group, LLC is pleased to announce the addition of “Leave of Absence” reviews.

On March 27, 2017
Recognizing that employee handbooks are rarely compliant with applicable law, and promise employees extended health plan coverage contrary to health plan documents whose terms require termination of coverage, The Phia Group is pleased to provide a Leave of Absence review service.

Medical Bill Blues: Pre-Payment Contracting and Negotiation, Pricing Alternatives, and Post-Payment Recovery of Overpayments

On March 23, 2017
It’s common knowledge that not every network contract adds real value, nor can medical providers always be relied upon to bill responsibly. As the fiduciary duty to be prudent with plan assets becomes increasingly relevant, it's important that self-funded health plans, and those who service them, not fall behind.

Empowering Plans Segment 04 - Attack of the Killer Savings

On March 13, 2017
Join The Phia Group's CEO, Adam V. Russo, and Sr. VP, Ron E. Peck, as they describe how The Phia Group identifies facilities that provide the best outcomes for the least cost, and encourage plan participants to visit those facilities.

Empowering Plans Segment 03 - The Journey Continues

On February 28, 2017
Once again The Phia Group’s CEO, Adam V. Russo, and Sr. VP, Ron E. Peck, delve into what makes their own company’s health benefit plan unique, and share tips employers (and those that service them) can use to improve their own plan’s performance.

Top Miscues Employers Make When It Comes To Their Health Plans ... And What We All Can Do To Become Health Plan Heroes

On February 15, 2017
Employers who self-fund their health plan act as a traditional employer, a plan sponsor, and a plan administrator. Juggling this many roles, conflicts and contradictions are bound to happen. For instance, an employee handbook’s handling of disability leave may conflict with the health plan document as it relates to employment and plan coverage.

Empowering Plans Segment 02 - The Next Episode

On February 12, 2017
In this second installment of The Phia Group's official podcast, our hosts begin sharing what makes their own health plan a source of savings for the employer and benefits employees love.

Empowering Plans Segment 01 - The Maiden Voyage

On January 31, 2017
Welcome to the maiden voyage of "Empowering Plans," a new Podcast by The Phia Group where our hosts will review the purpose of this new series of Podcasts, reveal what the next few episodes will be about, and open the forum to our partners for comments and ideas.

Back to The Self-Funding Future – Which Echoes of 2016 Will Continue to Impact Self-Funding in 2017

On January 19, 2017
The past decade has ushered in both outrage and opportunity for self-funded plans, and 2016 was no different. The characteristics of self-funded plans continued to alter in concert with new laws and regulations. While these bureaucratic efforts often hindered our ability to self-fund, for those daring enough to change with the times, we saw increased growth and prosperity. We will no doubt see these issues and opportunities continue to evolve in 2017, and only those that prepare will thrive.

The Phia Group's 1st Quarter 2017 Newsletter

On January 17, 2017
2016 has been a busy year here at The Phia Group! Read our newsletter to get acquainted with some of the goings-on in our neck of the woods.

The Stacks - 4th quarter 2016

On January 3, 2017
This is "The Stacks" from The Phia Group's 4th Quarter 2016 newsletter.