Happy Holidays from The Phia Group, LLC!

Happy Holidays! Angel Tree for The Salvation Army Christmas On behalf of the entire Phia Group staff, we’d like to wish you a Happy Holiday and an amazing New Year! Please be advised that The Phia Group will be closed beginning on Thursday, December 24th in observance of the Chr
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Affordable Care Act Cadillac Tax Delayed for Two Years

By Andy R. Anderson On December 18, President Barack Obama signed the Consolidated Appropriations Act (the Act), which includes a variety of tax extenders that we will address in a series of posts. The Act delays the onset of the Affordable Care Act’s (ACA’s) “Cadillac Tax” by two yea
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Court Nixes Health Plan’s Subrogation Claim

Posted December 22, 2015, 3:11 P.M. ET By Carmen Castro-Pagan A health plan isn’t entitled to reimbursement of $48,000 in medical expenses it paid on behalf of a minor beneficiary who was injured in an all-terrain vehicle accident, the U.S. District Court for the District of Ari
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One Pharma Fix: Limit the ‘Orphan Drug’ Incentives

By Marty Makary The cost of drug prescriptions has become an issue in the presidential-primary season, most notably with Hillary Clinton and Bernie Sanders competing to see who can do the most to protect the wallets of potential voters. Mrs. Clinton this fall proposed capping out-of-p
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Why Obamacare premiums are spiking in 2016

By Sarah Kliff No matter how you slice the numbers, Obamacare premiums will rise significantly next year. The Obama administration estimates rates will rise 7.5 percent in 2016, compared with 2 percent in 2015. Read more…
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The Phia Group’s December 2015 Webinar – Last Chance to Register Now!

Issue of the Year: Reference-Based Pricing and Balance Billing Tuesday, December 15th, 2015 1:00 PM (EST) to 2:30 PM Join Us – Register Today! In 2015 the self-funded industry evolved like never before. Innovative ideas spread like wildfire, as TPAs, stop-loss carriers, employer
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The Phia Group’s December 2015 Webinar – Register Now!

Issue of the Year: Reference-Based Pricing and Balance Billing Tuesday, December 15th, 2015 1:00 PM (EST) to 2:30 PM Join Us – Register Today! In 2015 the self-funded industry evolved like never before. Innovative ideas spread like wildfire, as TPAs, stop-loss carriers, employer
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Hospitals rethink prices as patients grow more cost-conscious

By Melanie Evans Some hospitals and health systems are starting to review and revise their prices to make themselves more attractive to individual consumers who increasingly experience sticker shock when they pay for services out of pocket under high-deductible health plans. Read more
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Video, Audio, and Slides from The Phia Group’s November Webinar

Hello All! The video, audio, and slides from The Phia Group’s November webinar (“A Changing Industry: Keeping PACE with the Trends”) are now available on our website. We hope to see you next on December 15th for our December webinar. It’s the last Phia Group webinar of 2015, and it’s
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The Supreme Court Seeks Solutions to the Latest Challenges to Subrogation Rights in Montanile Case

By Catherine Dowie The facts of the latest healthcare subrogation challenge on the SupremeCourt’s docket (Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan) will be familiar to many. As you may recall from the June 2015 article,“TheRoad to Recovery:
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