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: P111 – Breaking Down Drug Importation!
In this episode of Empowering Plans, Attorneys Chris Aguiar and Andrew Silverio, discuss some evolving issues and recent developments, including whether a participant can be deemed a plan fiduciary after a third party recovery, and the current state-run of state drug importation programs.
Empowering Plans: P110 – NQTL? MHPAEA?! OMG, IDK!
In this episode of Empowering Plans, attorneys Nick Bonds and Jon Jablon discuss one of the most mysterious topics of the CAA: the Non-Quantitative Treatment Limitation analysis now required by the Mental Health Parity and Addiction Equity Act. Not surprisingly, this analysis is anything but straightforward, and certainly no easy task for health plans – especially with very little helpful regulatory guidance. Jon and Nick are here to talk about what the heck NQTLs actually are, what the analysis entails, and how health plans can best protect themselves from the DOL’s wrath!
Empowering Plans: P109 – The Unanticipated Costs of COVID-19 Testing
In this episode of Empowering Plans Kelly Dempsey and Kevin Brady revisit a subject quite popular at the beginning of the pandemic; testing for COVID-19. Plan members don’t have to pay for COVID-19 tests, but group health plans do. Unfortunately, there are no limits in place on how much the plan has to pay for those tests. Listen to this week’s episode to hear about the current state of pricing for these tests, and how we see things shaping up moving forward!
Empowering Plans: P108 – A Win/Win Proposition – Better Quality for Patients, Real ROI for Plans
In this episode of the Empowering Plans Podcast, Tim Callender is joined by Jordan Feldman, the CEO and Co-Founder of Rightway Healthcare, along with Linda Pestana, the Director of HR at Phia. For the past two years, Phia has been a Rightway client, reporting a 6.8X ROI. Tim and Jordan discuss why Rightway got started and how it's delivering a "doctor in the family" experience for all members. Linda also shares the impact it's had on her — both as the HR / Benefits leader and as a direct user of the service. Tune in to hear how Rightway is making an impact!
Empowering Plans: P107 – Updates Employers Need to Know About the COVID-19 Vaccines
As COVID-19 infection rates appear to be trending downwards in most areas in the U.S., employers across the country are hard at work on reopening plans in anticipation of the lifting of most occupancy limitations to slow the spread of the virus. The big question employers are asking themselves is whether to mandate COVID-19 vaccinations for employees returning to the workplace to ensure a safe work environment.
Phil and Brady take a deep dive into this issue discussing compliance considerations implicated when considering mandating vaccination as we as explore limitations, risks, and current trends being established by employers that have already reopened.
Empowering Plans: P106 – A No-Surprises Party – The No Surprises Act Dissected
In this episode we welcome back to the mic EVP and General Counsel, Ron Peck, as well as SVP of Consulting, Jen McCormick. These industry legends discuss the No Surprises Act, its likely impact on both the payer and provider industries, and provide listeners with guidance on what they need to do now, to ensure compliance when it goes live.
Adam and Ron are thought leaders in the health benefits field!