100 episodes

The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan document drafting, subrogation and overpayment recovery, claim negotiation, and plan defense designed to control costs and protect plan assets.

The Phia Group's Podcast The Phia Group

    • News
    • 4.9 • 15 Ratings

The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan document drafting, subrogation and overpayment recovery, claim negotiation, and plan defense designed to control costs and protect plan assets.

    Empowering Plans: P141 - Do You Mind (…The Gap)?!

    Empowering Plans: P141 - Do You Mind (…The Gap)?!

    In this installment of The Phia Group’s Empowering Plans podcast, attorneys Jen McCormick and Jon Jablon discuss the age-old topic of stop-loss gaps, with a modern twist. Emerging law and industry trends color so many decisions that self-funded plans and those that service them must make on a daily basis, and one player that sometimes gets forgotten about is stop-loss. Since stop-loss coverage expectations don’t always align with reality, health plans, TPAs, and brokers need to be proactive, to find potential gaps and try to rectify them before they evolve into real problems.

    • 22 min
    Empowering Plans: P140 - Should Plans Better Address Mental Health Benefits?

    Empowering Plans: P140 - Should Plans Better Address Mental Health Benefits?

    In the wake of the COVID-19 pandemic, the government has announced that we are facing another crisis – one on mental health. Participants are clamoring for more access to mental health care than ever before. The COVID-19 pandemic only highlighted the lack of availability of mental health care in the US, including care that is covered by plans. Ron Peck, Chief Legal Officer, and attorney Kaitlyn MacLeod are here to talk about what plans are doing to address the mental health crisis and how mental health parity comes into play for plans, patients, and providers. 

    • 22 min
    Empowering Plans: P139 - Stop Loss and Subrogation

    Empowering Plans: P139 - Stop Loss and Subrogation

    In this episode of the Empowering Plans podcast, attorneys Chris Aguiar and Cindy Merrell, discuss potential obligations of health plans to their stop loss carriers in the event of a recovery through subrogation.

    • 22 min
    Book of Russo: Chapter 2

    Book of Russo: Chapter 2

    In the latest episode of The Book of Russo, tune in to find out what The Phia Group’s CEO, Adam Russo, and guest host, Dr. Marty Makary, have to say about price transparency, price gouging, and who is typically responsible for the high cost of care.  

    • 22 min
    Empowering Plans: P138 - The Dobbs Case – What Group Health Plans and Employers Need to Know

    Empowering Plans: P138 - The Dobbs Case – What Group Health Plans and Employers Need to Know

     On June 24th, the U.S. Supreme Court handed down one of its most controversial and impactful decisions in half a century by overturning Roe v. Wade. This decision has sweeping implications for group health plans. In this special edition of the Empowering Plans podcast, The Phia Group’s Chief Legal Officer, Ron Peck, is joined by attorneys Jen McCormick and Brady Bizarro to unpack the Court’s opinion, what’s likely to happen next, and most importantly, how health plans should respond to this historic ruling. 

    • 26 min
    U.S. Supreme Court Rules on Dialysis Carve-outs

    U.S. Supreme Court Rules on Dialysis Carve-outs

    In this episode of the Empowering Plans podcast, attorneys Brady Bizarro and Andrew Silverio, break down the Supreme Court’s ruling in the Marietta case on dialysis carveouts. What does the ruling mean for self-funded plans that wish to carve out dialysis claims? Our experts dig deep into the legal analysis and explain how plans can stay within the parameters of this decision. Finally, they address important points raised by the dissent and consider the broader impact on the industry.

    • 11 min

Customer Reviews

4.9 out of 5
15 Ratings

15 Ratings

Geoff's iTunes Acct ,

Great info!

Adam and Ron are thought leaders in the health benefits field!

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