The Phia Group's Podcast

Empowering Plans: P49 - Issues with Inaction: Balance Billing and Wellness Programs


Listen Later

In this episode, hosts Jennifer McCormick, Brady Bizarro and Erin Hussey discuss issues with inaction. The first issue is with balance billing, and a recent case involving a patient who was balance billed and refused to pay the bill. The hospital now seeks declaratory judgement stating that the patient-hospital contract is valid. This case is a good example of the interaction of third party agreements and the SPD, and the ongoing issue of the reasonableness of Chargemaster rates. The second issue is with wellness incentive rules and the lack of guidance from the EEOC, following the AARP v. EEOC case. This EEOC was ordered to re-write wellness program rules regarding incentives and issue proposed rules on August 31, 2018, with an effective date of January 1, 2019. If the EEOC does not re-write the rules, the old rules (the 30% incentive maximum) will be vacated and there will be no new rules for employers to follow.
...more
View all episodesView all episodes
Download on the App Store

The Phia Group's PodcastBy The Phia Group

  • 4.9
  • 4.9
  • 4.9
  • 4.9
  • 4.9

4.9

17 ratings


More shows like The Phia Group's Podcast

View all
Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

31,929 Listeners

Relentless Health Value by Stacey Richter

Relentless Health Value

228 Listeners

The Martyr Made Podcast by Darryl Cooper

The Martyr Made Podcast

5,221 Listeners

The Bill Simmons Podcast by The Ringer

The Bill Simmons Podcast

30,062 Listeners

Acquired by Ben Gilbert and David Rosenthal

Acquired

3,799 Listeners

The Daily by The New York Times

The Daily

111,123 Listeners

KFF Health News' 'What the Health?' by KFF Health News

KFF Health News' 'What the Health?'

472 Listeners

Choiceology with Katy Milkman by Charles Schwab

Choiceology with Katy Milkman

1,445 Listeners

Worklife with Adam Grant by TED

Worklife with Adam Grant

9,274 Listeners

Plenary Session - inactive due to federal service by Vinay Prasad, MD MPH

Plenary Session - inactive due to federal service

744 Listeners

The Journal. by The Wall Street Journal & Gimlet

The Journal.

5,893 Listeners

Impact Healthcare Podcast by Lester J. Morales

Impact Healthcare Podcast

20 Listeners

Self-Funded With Spencer by Spencer Smith

Self-Funded With Spencer

29 Listeners

Morning Wire by The Daily Wire

Morning Wire

26,410 Listeners

Voices of Self Funding by hcaainfo

Voices of Self Funding

1 Listeners