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Recent Posts

Cyborgs – Moving From Science Fiction to Science Fact

By: Garrick Hunt The word “cybernetics” tends to invoke images of Robocop or The Million Dollar Man.  These examples are just the creation of the imagination, but how far
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My Trip to the Emergency Room

By: Jen McCormick, Esq. Since becoming a mom, I’ve experienced two pretty scary parenting adventures – taking a toddler to Disney World solo and taking a toddler to the e
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I Fought The Law and…Unpredictable Results Ensued

By: Jon Jablon, Esq. Are you a landlord? If so, you might know that the law is not on your side. Or, are you a criminal? The law isn’t on your side either, but that one m
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Repeal and Replace Faces a False Start

By: Brady Bizarro, Esq. After the surprising collapse of the American Health Care Act (“AHCA”), House Speaker Paul Ryan (R-Wis.) remarked, “We’re going to be living with
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Sometimes… The Truth Hurts…

By: Tim Callender, Esq. The following is completely fictional.  Well, not really, but it makes me feel better to pretend that it’s not true.  As always, with my posts, th
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Trump’s Healthcare Bill Failed… Here’s Why

By: Adam Russo, Esq. The fact that Trump’s healthcare bill failed is big news and now everyone in Washington and in the media is trying to place blame on someone, w
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U.S. Airways v. McCutchen – Where Are they Now?

By: Chris Aguiar, Esq. The health benefits industry can feel like a whirlwind, especially for self-funded plans.  We always seem to be running around trying to figure out
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Bidding Against Themselves: $750K Air Ambulance Claim Adventure

By: Jason Davis I have a weird claim on my desk right now involving an Air Ambulance (AA) carrier that is billing a client $750K for a flight from the east coast to the w
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Keep Hands, Arms, Legs, and Feet Inside the Ride at All Times and Remain Seated Until the Ride Comes to a Complete Stop

By: Kelly Dempsey, Esq. The last 7 years have been a wild ride and it’s not quite over yet.  As noted in many other posts and articles, the rules will be changing under t
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Health Insurance is NOT Health Care

By: Ron E Peck, Esq. The Congressional Budget Office (CBO) has provided its assessment of the American Health Care Act, and already Congressional would-be supporters of t
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If I Can Change, So Can The Average American

By: Garrick Hunt I recently celebrated my two year anniversary at The Phia Group; an organization that two years ago I didn’t know existed. In my time here, I have learne
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ACA to AHCA… A Look Back on the Past 7 Years

By: Jen McCormick, Esq. Last Monday, the House Republicans finally had their chance to offer their version of a health care bill.  The American Health Care Act, or AHCA,
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The Cost-Containment Carve-Out Compliance Conundrum

By: Jon Jablon, Esq. There is an interesting phenomenon happening in the self-funded industry today. Because medical costs are so exorbitant and arbitrary, many health pl
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Employer-sponsored Plans Should Prepare to be Taxed

By: Brady Bizarro, Esq. The latest news in the repeal and replace saga is that congressional Republicans are pushing to get a bill to the Senate by the end of this month.
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It will be my pleasure to balance bill the patient $1.3 Million…

By: Jason Davis …Is what a Hospital VP of Accounts Receivable said to me when I called to discuss a reference-based pricing (RBP) claim that was referred to The Phia Grou
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