“These are turbulent times for networks, and it will be the task of this group to share recent experiences with PPOs (both good and bad) and discuss other methods of claims reimbursement such as cost plus pricing methodologies. “
HealthGuide Source: The Phia Group, LLC, 7/29/2011, www.phiagroup.com
Braintree, MA — The Phia Group, LLC is proud to announce the formation of 3 unique Phia Working Committees (“PWCs”) dedicated to addressing the self-funded industrys most pressing issues.
Self Funding Promotion
Moderated by The Phia Groups CEO Adam V. Russo, Esq., this committee will discuss why self funding is a viable option and how to promote the differences and advantages of self funding, in a way that continuously promotes greater client retention. It will be the groups mission to seize the opportunities health care reform has created for self funding.
TPA & Stop-Loss United
Moderated by attorney Jennifer McCormick, this group will focus on resolving the conflicts that are part of the age-old interaction between TPAs, Benefit Plans, and Stop Loss Carriers. This groups membership is comprised of both carriers and TPAs alike, as it seeks to advance its mission to “unite” the members of this industry, and create innovative processes and procedures to promote a relationship that benefits all parties.
PPO & Provider Conflicts
Moderated by The Phia Groups Senior Vice President and General Counsel, Ron E. Peck, Esq., this group will discuss the industrys most pressing topic of provider overcharges, balance billing, as well as PPO networks and their potential replacements. These are turbulent times for networks, and it will be the task of this group to share recent experiences with PPOs (both good and bad) and discuss other methods of claims reimbursement such as cost plus pricing methodologies.
The PWCs will conduct their “kick off” conference calls on August 23, 2011. As new ideas are discussed and implemented, The Phia Group vows to share these innovations with the industry. As always, The Phia Group welcomes feedback from the industry as well. For more information regarding this, and other matters, please contact Andrew Milesky at 781-535-5636 or email at amilesky@phiagroup.com.
About The Phia Group, LLC
The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive claims recovery, plan document and consulting services designed to control health care costs and protect plan assets. The Phia Groups overall mission is to reduce the cost of plans through its recovery strategies, innovative technologies, legal expertise, and focused, flexible customer service. True to its motto “A Revolutionary Passion for Savings,” The Phia Group has become one of the most innovative and fastest growing cost containment firms in the nation, and is a pioneer setting the highest standards in the health care marketplace. Visit www.phiagroup.com.
