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In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
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Employee Rights With COVID-19 Vaccines
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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
AI in Healthcare
Understanding Prescription Medication for Weight Loss
Industry Terms
Phia Group
Phia Group Media
California / Recovering Benefits from Workers' Compensation
On January 23, 2013
In May of 2012, the California Workers’ Compensation Appeals Board (“WCAB”) adopted amendments, which impact the ability of lien claimants to obtain recovery.
January 2013 Newsletter
On January 21, 2013
I cannot believe that New Year’s Eve was over 2 weeks ago – where have these days gone? Time certainly seems to fly by when I keep myself busy working to ensure that all of you are protected this year. I have been spending much time researching the options available to employers in 2014. Where will they go? Will they decide to self fund or will they join the exchanges?
The State of the Subro-Union Address
On January 16, 2013
The Phia Group’s CEO (Adam V. Russo), Sr. VP and General Counsel (Ron E. Peck), and resident subrogation litigation expert (Christopher Aguiar) will delve into current events, litigation, and changes in law (official and otherwise), as they share the current state of affairs for anyone and everyone interested in subrogation.
December 2012 Newsletter
On December 29, 2012
Happy Holidays to all of you! As we enter 2013, I just wanted to say thank you for the opportunity to serve you and the entire industry over the past 12 years and I look forward to doing so in 2013.
Looking Forward to 2013 - The Phia Group Looks Back at 2012 and Forward to 2013
On November 26, 2012
If you thought 2012 was a wild ride, wait until you see 2013...
November 2012 Newsletter
On November 21, 2012
The elections are over and regardless of who you voted for, the fact remains that PPACA is here to stay. While many of you have been utilizing our firm to assist in your compliance needs, we have never publicly announced that our team of experts can assist your organization with Regulatory Compliance issues until now.
Trick Or Treat
On November 11, 2012
Plan sponsors are looking for ways to cut costs without limiting benefits. New solutions are popping up everywhere, from medical tourism, to carving out dialysis; from placing a Medicare + cap on allowable expenses, to having outside auditors reprice claims.
Doing It For Ourselves
On November 11, 2012
June 28th, 2012 is a date that will not live on in infamy or otherwise. On that date The Supreme Court of the United States (“SCOTUS”) took the path of least resistance, declaring that The Patient Protection and Affordable Care Act (“PPACA”) is Constitutional, while tearing the claws from the so-called “mandate’s” enforceability. In one fell swoop, SCOTUS both locked PPACA in as the law of the land, and eliminated the government’s ability to enforce the mandate against individuals.
The Supreme Court Opinion on PPACA
On November 11, 2012
The US Supreme Court upheld the sweeping 2010 healthcare law, declaring that Obama and Congress acted within their powers in requiring most Americans to obtain health insurance.
October 2012 Newsletter
On October 19, 2012
Well, it’s that time of year where here in New England the leaves are turning colors, the summer outdoor furniture is being put away, and by the time I leave the office its already dark outside. So depressing, yet I feel so inspired by what I see happening across the industry. People are getting creative with their cost containment ideas and I see more and more innovative approaches to reducing the cost of health care. But we have to be diligent in how we do these things.
September 2012 Newsletter
On October 19, 2012
Fall is in the air here in New England but the conference schedule is heating up earlier than ever for me. I’m doing the nationwide tour and the focus from audience questions is on two areas – health care reform and self funding. The same people who ask me about reform then follow up with whether self funding is a good move to lower their costs. The interest in self funding is the highest I have seen in my life time so we here at The Phia Group will continue to preach the virtues of this option and how to make it work right.
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