Federal Judge Denies United Healthcare’s Motion to Dismiss in Case Brought by Texas General Hospital for Unpaid & Underpaid Claims

By Brado Bizarro, Esq – The Phia Group, LLC Background Texas General Hospital is a private, acute care facility located in Grand Prairie, Texas. It is outside of UnitedHealthcare’s (“United”) provider network. In January of 2015, Texas General was the subject of intense scrutiny
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Study finds wealthier Americans receive more healthcare than middle class, poor

By Emily Rappleye Reversing a long-term trend, the wealthiest 20 percent of the American population —generally the healthiest income group — now account for more healthcare spending per capita than middle and low income groups, according to a Harvard study published in the July issue
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Why Your Health Insurance Data Should Be Liberated

By David Vivero In a world where you can access nearly all human knowledge from a device in your pocket, it’s absurd that you still can’t find out how much having a baby will cost you. But it’s not surprising. “Health data” is such a hot topic these days that you’d think it was a rece
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Register Now for The Phia Group’s July 2016 Webinar!

Back to Basics: Plan Language 101 (Part 2) Wednesday, July 13th, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now!  When we think of hot topics in the self-funded industry, plan document drafting is hardly the first thing that come to mind. Instead, issues such as fiduciary
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HHS: Medicaid expansion under Affordable Care Act improves health, financial stability

By Rafi Naseer HHS reported that 93% of new Medicaid enrollees are satisfied with their health care plans, and 92% are satisfied with their doctors. In addition, 78% of new enrollees state that they would be unable to access regular care if not for the Affordable Care Act. Read more&#
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Court Strikes Down Obama Health Care Rule on Insurance Standards

By Robert Pear WASHINGTON — A federal appeals court has ruled that consumers must be allowed to buy certain types of health insurance that do not meet the stringent standards of the Affordable Care Act, deciding that the administration had gone beyond the terms of federal law. Read mo
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Madison Mayor Looks To Take On Hospitals Health Care Pricing

By Shamane Mills Say you have to go to the hospital in Wisconsin and you want to get an idea how much you might pay, there are various sources offering rough estimates for patients. The Wisconsin Hospital Association Information Center, for example, has a list of the most common reaso
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Young Adults Can Face Challenges To Health Enrollment

By Michelle Andrews The Obama administration is making a push to get young adults covered on the health insurance marketplaces, both for their own good and that of the marketplaces, which need healthy people to balance sicker ones in the risk pool. While experts applaud the beefed up
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Employers’ Declaration of Independence From Traditional Health Insurance

By Dave Chase Employer frustration over the devastating collateral damage from a severely under-performing healthcare system is boiling over. Across America and across all types of organizations, every day there is the equivalent of Boston Tea Party. Employers are recognizing that the
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The fascinating facts about immigrants and health insurance

By Robin Gelburd Immigration has been much in the news lately, with the Supreme Court deadlock blocking President Obama’s immigration reform program, California’s move to try to extend participation in their state health exchange to undocumented immigrants, and the continuing prominen
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