Industry Trends & Demands, Alaska to Maine

By: Tim Callender, Esq. It’s about this time each year that travel really starts to kick in to high gear for numerous Phians.  From Adam, to Ron, to Mike, to Garrick, to me…. Planes, trains and automobiles!  I for one view this as an opportunity take our passion for this industry and
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Billing Itemization

By: Jon Jablon, Esq. Question: is a medical provider required to give an itemization as part of the billing? Answer: Generally no. Texas and Florida have passed legislation requiring them in certain instances, but often TPAs and plans must make the arguments that (1) the bill is not c
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Beth Israel, Lahey in advanced merger talks

By Jessica Bartlett Beth Israel Deaconess Medical Center and Lahey Health have announced plans to combine forces for the fourth time, a move that would create an entity rivaling the size of Partners HealthCare. Read more…
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What is ‘Repeal and Replace?’ A Guide to Trump’s Health Care Buzzwords

 By Benjy Sarlin President Donald Trump and GOP lawmakers have yet to come up with a plan to repeal and replace the Affordable Care Act. But in the meantime, there’s already a complicated vocabulary to describe the process and its goals. Read more…
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Innovation at Its Finest …

By: Chris Aguiar, Esq. I’ve had the honor and privilege of meeting Dr. Keith Smith and have worked with several benefit plans who have utilized his Center as part of their benefit offerings.  Dr. Smith is a true innovator in the cost containment space who genuinely cares about his pat
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A Personal Experience

By: Adam Russo, Esq. Yesterday, I posted a personal experience I had with the very first employee benefit plan I ever designed – my own. The Phia Group’s self-funded employee benefit plan is not just the plan my employees are on, it’s the plan my wife, four kids, and I are on. I pay a
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Worries about Health Care Coverage Mandates

By: Brady Bizarro, Esq. One of the biggest unknowns of the Trump Administration’s health policy priorities is whether or not the new administration plans to repeal the individual and employer mandate. The White House has already directed federal agencies to “ease the burde
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LOA = Continuation of Coverage, or does it? One of the “Gap Traps”

By: Kelly Dempsey, Esq. It’s intuitive to think that a leave of absence (LOA) from employment is coupled with a continuation of health plan coverage (CoC), especially if the leave is illness related; but to the dismay of many, a CoC isn’t always coupled with a LOA. Many employers stru
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Egregious Billing Hits the Common Man – Who Now Has a Place to Vent Their Frustration

By: Garrick Hunt For those of us who are embedded in the health care industry, we know that the greatest issue with health care in America is the price tag. For the average American, health care is all about “what’s my out-of-pocket going to be?” Just recently a friend of mine,
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Keeping the “Benefit” in Benefit Plans

By: Ron E. Peck, Esq. Once upon a time, employers offered employees “benefit plans,” with an eye toward attracting and retaining a talented workforce.  The word – benefit – literally means something good; positive; of added value.  At some point, though, health insurance became less o
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