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
Stuff You Should Know by iHeartPodcasts

Stuff You Should Know

78,636 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,100 Listeners

The Joe Rogan Experience by Joe Rogan

The Joe Rogan Experience

228,383 Listeners

The Dan Bongino Show by Cumulus Podcast Network | Dan Bongino

The Dan Bongino Show

63,872 Listeners

Outkick The Show with Clay Travis by Outkick Sports

Outkick The Show with Clay Travis

2,275 Listeners

Sales Gravy: Jeb Blount by Jeb Blount

Sales Gravy: Jeb Blount

587 Listeners

Relentless Health Value by Stacey Richter

Relentless Health Value

240 Listeners

The Daily by The New York Times

The Daily

111,948 Listeners

Heads Up Adviser by John Sbrocco, Craig Lack

Heads Up Adviser

29 Listeners

Subpar by GOLF.com

Subpar

1,428 Listeners

All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

All-In with Chamath, Jason, Sacks & Friedberg

10,182 Listeners

The Ezra Klein Show by New York Times Opinion

The Ezra Klein Show

15,950 Listeners

Self-Funded by Spencer Smith

Self-Funded

38 Listeners

The Mel Robbins Podcast by Mel Robbins

The Mel Robbins Podcast

19,524 Listeners

The Tucker Carlson Show by Tucker Carlson Network

The Tucker Carlson Show

16,332 Listeners