For those that are invested in maintaining health benefits, inventing new cost saving methodologies is the “holy grail.” Enter the provider – hospitals, physicians, and other health care facilities. From specialty networks to direct provider negotiations; from medical tourism to ACOs… The way we receive care is changing. While some providers embrace the opportunity to shake things up, others cling to the status quo. Conflicts inevitably result from such changes, including: contract disputes, provider appeals, audits and refund requests… Join The Phia Group’s CEO, Adam V. Russo, Esq. as well as its Senior VP and General Counsel, Ron E. Peck, Esq., as they confront these and other provider conflicts on the rise.
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In a world dominated by reform and regulation, there are those who master compliance and thrive, and those who stumble under the burden. Thriving in the post PPACA era requires innovation, and a proactive attitude. Predicting what mandated benefits will be required from your benefit plans, discovering the most cost effective methods to maintain a benefit program and thereby “play” rather than “pay,” and other issues haunting every member of the industry will be discussed. Join The Phia Group’s CEO, Adam V. Russo, and Sr. Vice President, Ron E. Peck, as they share the secrets of regulatory compliance success.
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As time passes and elements of PPACA are triggered, the cost of purchasing insurance has become too great. Meanwhile, employers see an opportunity to drop coverage, pay a relatively small penalty, and exile employees to the exchanges. The reasons to offer employment based benefit plans hasn’t changed. For those that self-fund, they need to know why self-funding remains the best option for them. For those leaving fully funded insurance, self-funding may be an option they haven’t considered. Join The Phia Group’s CEO, Adam V. Russo, and Sr. VP, Ron E. Peck, as they discuss the many reasons to keep health benefits in-house, and how self-funding allows employers to “play” the game in a PPACA era!
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It’s only February and I’m already getting sick of the snow. Thankfully spring training is underway and for the first time in years, my beloved Indians have a chance to win! We here at The Phia Group want all of you to win new clients and increase your profitability and that’s why our services are catered to you.
The industry is going through much change and our expertise can and will guide you through the storms. Our recent webinar on cost plus offerings was the highest attended to date and we expect to beat that number with our next two on how to convince employers that self funding is right for them. Thanks for choosing us and happy reading.
The survival of self-funding in the face of PPACA, stricter stop-loss regulation, and the exchanges, is reliant upon doing more for less. Plan administrators are now thinking outside the box, developing payment methodologies that draw upon both old and new practices. Change, however, invites upheaval; in a world dominated by PPO networks and provider agreements, anyone who strays from the norm has a fight on their hands. Join The Phia Group’s CEO, Adam V. Russo, and Sr. Vice President, Ron E. Peck, as they dissect these new concepts, consider the pros and cons, and share their experiences as advocates of these new theories.
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In May of 2012, the California Workers’ Compensation Appeals Board (“WCAB”) adopted amendments, which impact the ability of lien claimants to obtain recovery.
• To secure reimbursement when filing a “green-lien,” lien claimants must pay a fee of $150.00.
• To secure reimbursement when filing a “green-lien,” “…lien claimants must appear at a lien conference and/or trial …”
We have already developed a strategy to ensure a smooth progression in light of these rules, and have the legal expertise in place to secure recovery. Please note, however, that the filing fee and appearance by local counsel will result in additional expense to the Plan. In an effort to maximize recoveries for our clients while minimizing costs, The Phia Group and its clients will have to conduct a cost-benefit analysis when deciding whether to pursue reimbursement, on a case by case basis.
PLEASE MARK YOUR CALENDAR! The Phia Group will be hosting a webinar specifically regarding these issues on January 23, 2013 at 4 PM EST / 1 PM PST. We have limited invitations to you and entities like you, directly impacted by these new rules. We will be discussing the new rules in greater detail, will field your questions, and will discuss the many issues benefit plans should keep in mind when assessing their options. It is important to us that you attend.