The Phia Group's Podcast

With one year under his belt, President Biden delivered his first State of the Union address, in which he showcased his domestic policy agenda. In this episode of the Empowering Plans podcast, Brady Bizarro and Andrew Silverio break down the important healthcare policy items the president discussed, and as importantly, which ones he did not.

On this week’s episode of Empowering Plans, Kelly Dempsey and Kevin Brady discuss over-the-counter COVID testing and the complications surrounding up-front payment by participants with account-based plans (HSA, FSA, HRA).

February 10 marks a full year since the requirement to provide a written report document a plan’s comparative analysis of its NQTLs took effect. In today’s podcast, Jon Jablon and Nick Bonds discuss some of what they’ve learned from a year’s worth of analyzing NQTLs, some practical considerations for health plans, and their takeaways from the recently-published report on MHPAEA compliance from the DOL, HHS, and Treasury.

This week on Empowering Plans, Jen McCormick and Katie MacLeod discuss the controversial new OTC COVID-19 Testing coverage requirement that went into effect on January 15, 2022 for plans – how it interacts with other COVID-19 coverage requirements, what plans need to cover and available safe harbors, and how plans can be prepared for compliance. This won’t be the last you hear of this topic, plans should not delay in getting their action plan and policies in place.

Kicking off the first episode of Empowering Plans in 2022, Phia’s Chief Legal Officer, Ron E. Peck, and Attorney Micah Iberosi-Parnell, talk value-based care, what it is, where it’s at right now, and where it’s headed. Listen for a preview of what action self-funded plans can begin taking now to reduce costs without sacrificing the quality of coverage.

This week on Empowering Plans, Rebekah McGuire-Dye and Lisa Hill bring you back to the basics of recovering subrogation dollars and identifying subrogation opportunities through an entertaining holiday story. Listen in to hear Rebekah's holiday story and how this story relates to multiple subrogation cases. 

 In this episode of Empowering Plans, Attorneys Chris Aguiar and Cindy Merrell, discuss what a health plan should do in the event of a pesky U.S.C. 1024(b)(4) records request. Tune in for all of the details! 

In this episode of the Empowering Plans podcast, join attorneys Brady Bizarro and Andrew Silverio as they discuss important developments in dialysis case law. Earlier in November, the Supreme Court agreed to hear arguments in a case which could settle an important question about the Medicare Secondary Payer Act and have important ramifications for plan language and payment methodologies. Brady and Andrew trace the history of the case and the differences in legal interpretation by the lower courts. Finally, they offer some predictions about how the Court may rule and the impact it could have on the industry.

This week on Empowering Plans, Kelly Dempsey and Kevin Brady discuss the controversial OSHA vaccine mandate rules – where they started, where they stand now, and the many legal challenges that have arisen. This won’t be the last you hear of this topic and despite the legal challenges, employers should not delay in getting their action plan and policies in place. 

This week on Empowering Plans, Nick Bonds and Jon Jablon discuss a highly nuanced topic that has been the bane of many health plans: organ transplants. From interspecies organ transplantation to COVID’s effect on the global organ trade, it’s an evolving topic with serious implications on healthcare.