Strategic Cost Containment for Stop-Loss Carriers

At The Phia Group, we support stop-loss carriers in mitigating risk, managing high-dollar claims, and implementing cost-saving measures with proven solutions. Our data-driven approach, legal expertise, and industry-leading services ensure that stop-loss carriers stay on top of the latest regulatory changes, including NSA and plan design innovations.

Maximizing Cost Savings & Claims Efficiency

Managing catastrophic claims and unpredictable healthcare expenses is a challenge for stop-loss carriers. That’s where The Phia Group delivers immense value. We optimize claims outcomes and reduce financial risk with our in-depth plan document review, comprehensive subrogation and claims recovery services, and balance billing protection.

ICE: Your B2B Compliance and Business Solutions Partner, Subrogation & Recovery Services: The Key to Unlocking Your Full Recovery Potential, Phia Unwrapped: Comprehensive and Technology-Driven Out-of-Network Repricing, PACE: Industry-Renowned Protection Against Fiduciary Liability Arising from Final Level Appeals, and Care Empowered Pricing: Next Level Reference-Based Pricing with Quality Care and Fair Pricing Done Your Way. What CARE Means to US: Cost Management, Advocacy, Resolution, and Expertise. Cheyenne + Family: joined the phia group in 2016. The Phia Group: Care. Empowered.

Want the details on how our integrated services can work together for you?

Mike Ferguson

President & CEO
Self-Insurance Institute of America, Inc. (SIIA)


“This is one of the most prominent companies in the self-insurance industry today. The Phia Group brings legal expertise, the regulatory environment, the understanding, and the ability to anticipate the impact of regulation and innovation.”

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Mike Meloch

CEO
TPAC


"TPAC partners with The Phia Group because Phia always has done it the right way. They only roll out programs – like our Safeguard service – when it is flawless and unrivaled, and they configure a pricing schedule that is exceedingly fair. They really do view their clients as partners and want them to thrive."

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Jim Hoitt

Senior Vice President & Chief Growth Officer
Berkley Accident and Health


"Employers who work with The Phia Group are those who are truly engaged in the desired outcomes of their self-funded plan. Berkley supports the cost for all of our policyholders to conduct a plan language review with Phia and has for many years because we trust the Phia team’s expertise, and we know they are always one step ahead of the challenges facing employer-sponsored plans."

Why Stop-Loss Carriers Trust The Phia Group

Stop-loss carriers need a trusted partner to protect against excessive medical costs, negotiate fair reimbursements, and bolster policyholder retention. With our comprehensive industry knowledge and innovative cost containment programs, we enhance claim outcomes and ensure regulatory compliance.

Our advanced claims negotiation, subrogation, and recovery strategies drive down costs and improve loss ratios.

Our team has established the industry benchmark for plan management and drafting services, providing fiduciary protection to ensure compliance and financial security.

Our team of attorneys and industry professionals safeguards against overpayment and litigation risks.

From high-dollar claims review to out-of-network repricing, we identify cost-saving opportunities at every stage.

With ever-changing regulations, our compliance experts ensure that policies align with the latest legal and industry standards.

Smart Claims Management with Proven Results

At The Phia Group, we don’t just manage claims—we transform them into opportunities for savings and stability. Our proactive strategies empower stop-loss carriers to take control of claims costs while strengthening carrier-client relationships. By ensuring fair and equitable claim resolutions, we help protect your bottom line without compromising compliance or care.

Protect Your Risk. Optimize Your Savings.

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Cost
Certainty

Predictable fee structures that support competitive pricing.

Stop-Loss

Compliance Reassurance

Expert guidance to navigate complex regulations.

Strategy

Strategic
Claims
Management

Proactive approaches to control spending.

Umbrella

Risk
Mitigation

Smarter solutions to reduce your exposure.

Hands shaking as heart

Stronger
Carrier-Client Relationships

Enhanced trust through transparency and fairness.

Let’s redefine stop-loss risk management together.

Partner with The Phia Group today.