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Recent Posts

As language shifts to ACA ‘repair,’ Pence reaffirms commitment to ‘repeal and replace’

By Tamara Rosin Although some Republican lawmakers have begun to discuss a more tempered goal of “repairing” the ACA instead of tearing it down, Vice Presiden
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I Have a Bridge to Sell You …

By: Chris Aguiar, Esq. Read this article this morning – https://www.nytimes.com/2017/01/29/health/obamacare-affordable-care-act-lifesaver-burden-voices.html?_r=1 Po
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ACA Section 1557 – Federal Court Injunctions, Executive Orders, Repeal/Replace, Oh my!

By: Kelly Dempsey, Esq. A federal court injunction related to 1557 was granted on 12/31/16, temporarily stopping portions of the rule—discrimination on the basis of gende
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Massachusetts Braces for ACA Repeal

By: Brady Bizarro, Esq. This morning, I had the pleasure of attending a conference held by the Massachusetts Association of Health Plans on “Examining the Effect of
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Enough to be Dangerous

By: Ron Peck, Esq. In my time, I’ve encountered opposition that admits to knowing nothing about the topic, and seeks to engage me in common sense discussion; and, opposit
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Change Often Starts with a Conversation

By: Garrick Hunt My wife, quite literally, has no idea what I do for a living. When friends and family ask, she normally replies, “…he does something with sub
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An Unlikely Recovery

By: Michael Branco The Phia Group’s overpayment specialists received two claims – same provider, same patient – totaling over $760,000. The reason for the refund was that
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Phia Group Consulting Is Always Ready to Help

By: Jennifer McCormick, Esq. Phia is continuously searching for ways to evolve and improve the plan drafting process for our clients, including notification of key compli
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Relationships Matter in Resolving Claims Disputes

By: Jason Davis Phia received a $60K claim caused by a serious fall while the member was hiking. The member was taken to the nearest hospital which was out of network, an
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For Some, the Affordable Care Act Is a Lifesaver. For Others, a Burden.

By SONA PATEL and FAHIMA HAQUE After President Trump and the Republican-controlled Congress vowed to repeal and replace the Affordable Care Act, millions of Americans hav
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Diabetes patients sue 3 drug companies over alleged fraudulent insulin pricing

By Kelly Gooch Eleven diabetes patients are suing several drug companies for alleged collusion on insulin pricing, reports The Washington Post. The lawsuit was filed Mond
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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
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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 legislati
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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 r
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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’
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