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 • 16 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: P187 – Decoding ACA FAQ #66: Essential Health Benefits Unpacked

    Empowering Plans: P187 – Decoding ACA FAQ #66: Essential Health Benefits Unpacked

    Listen in as Kelly Dempsey and Brian O'Hara hit it out of the park in this Empowering Plans episode about Essential Health Benefits (EHBs)! The regulating bodies are at it again and issued ACA FAQ #66 on April 2, 2024! Listen in for a quick refresher on EHBs - how they started, where they are now, and where we’re going - and Phia’s interpretation and analysis of FAQ #66.

    • 14 min
    Empowering Plans: P186 – Xenotransplantation: A Potential Game Changer for Self-Funded Plans

    Empowering Plans: P186 – Xenotransplantation: A Potential Game Changer for Self-Funded Plans

    Ham it up with attorneys Nick Bonds and Jen McCormick from the Phia Group as they dive into the groundbreaking world's first successful genetically engineered pig kidney transplant at MGH in Boston. Explore the details of this medical breakthrough, its implications for the healthcare industry, and the considerations for the future of dialysis, plan language, and stop loss provisions. Tune in to gain invaluable insights into the intersection of law, healthcare, and cutting-edge medical advancements.

    • 17 min
    Empowering Plans: P185 – Weighing the Options

    Empowering Plans: P185 – Weighing the Options

    Over the last twelve months we have seen major interest in GLP-1s (Semaglutide- Ozempic / Wegovy and Tirzepatide – Mounjaro / Zepbound). Although GLP-1s have been around for years as a treatment for diabetes, the recent popularity is due to their use as a weight loss drug. Join Ron Peck and Corey Crigger as they discuss the impact this surge in demand has had on health plans and consumers. Are health plans and consumers informed about the benefits and drawbacks of this drug? Are consumers too focused on the benefits? Are health plans too focused on cost? Find out as Ron and Corey discuss one of the hottest topics in the industry.

    • 26 min
    Empowering Plans: P184 – State of the Union, 2024

    Empowering Plans: P184 – State of the Union, 2024

    In his third State of the Union address, President Biden touted his administration’s record and outlined the issues he and his team will likely be campaigning on heavily as the 2024 presidential race kicks off in earnest. Sprinkled throughout were a number of policy wish list items, including some key healthcare initiatives that we’ll be keeping a close eye on in the coming months. Attorney’s Brady Bizarro and Nick Bonds bring you some of the highlights in this episode of the Empowering Plans podcast.  

    • 13 min
    Empowering Plans: P183 – The Therapeutic Equivalence Approach: A New “Pill”ar of Contraceptive Coverage

    Empowering Plans: P183 – The Therapeutic Equivalence Approach: A New “Pill”ar of Contraceptive Coverage

    The DOL recently issued new guidance on the long-standing contraceptive coverage mandate, and this time they took a different approach. Instead of clarifying prior guidance or issuing novel interpretations of the law, the DOL is giving health plans an alternative way to comply with the contraceptive coverage mandate: either follow the prior guidance issued in 2022… or don’t! The DOL introduced the “therapeutic equivalence” approach, whereby plans can comply with the law in a different, potentially less-burdensome way. Join The Phia Group’s Kendall Jackson and Jon Jablon as they discuss this “therapeutic equivalence” approach to compliance, what it means for consumers, and what it means for health plans.

    • 14 min
    Empowering Plans: P182 – Navigating Post-Settlement Fund Pursuits

    Empowering Plans: P182 – Navigating Post-Settlement Fund Pursuits

    Attorneys Andrew Silverio and Cindy Merrell discuss a newly decided case which provides a roadmap for pursuing settlement funds after disbursement. Who has the burden of proof when the funds have been dissipated? What is lowest intermediate balance rule? 

    • 12 min

Customer Reviews

4.9 out of 5
16 Ratings

16 Ratings

johnny boy.com ,

Exceptional

The Phia Group Podcast- answering the question: “is it possible to make compliance and complex healthcare fun, funny, and informative?”

Geoff's iTunes Acct ,

Great info!

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

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