Phia Group Russo & Minchoff

SIIA and SIEF Team Up to Educate Congressional Staffers

cmonfils | July 25, 2011

www.myhealthguide.com
MyHealthGuide Source: Self-Insurance Institute of America, Inc. (SIIA), 7/19/2011, www.SIIA.org

The Self-Insurance Institute of America, Inc. (SIIA) announced that it has partnered with the Self-Insurance Educational Foundation, Inc. (SIEF) to produce a series of events designed to educate congressional staff members about self-insurance and alternative risk transfer. All of the events will be held on Capitol Hill in Washington, DC. (more…)

Top 10 Most Costly Conditions among Men and Women, 2008

cmonfils | July 18, 2011

www.myhealthguide.com
MyHealthGuide Source: Medical Expenditure Panel Survey (MEPS), Anita Soni, PhD, July 2011, MEPS Full Text  Report

Health care expenditures for the treatment of chronic conditions have been on the rise in the United States. Traditionally, medical expenditures have been concentrated for the treatment of certain types of highly prevalent conditions or for which treatment often entails the use of high cost services. (more…)

The Phia Group Hosts Roundtable for TPAs and Stop Loss Carriers — New Language Drafted for the Carriers’ Policies Regarding IRO Decisions

cmonfils | July 11, 2011

www.myhealthguide.com

MyHealthGuide Source: The Phia Group, Inc., 6/23/2011, www.phiagroup.com

The Phia Group, LLC held an industry event for certain third party administrators and stop loss carriers using a “roundtable” open forum format, appropriately dubbed “An Industry United.” This event was led by moderators Ernie Clevenger, Adam V. Russo, and Ron E. Peck. The true stars of the event, however, were the attendees. (more…)

MEDIA ADVISORY – Thompson Publishing Introduces HR Blog

cmonfils | July 5, 2011

FOR IMMEDIATE RELEASE

CONTACT: Todd Leeuwenburgh, tleeuwenburgh@thompson.com, 202-739-9620

Washington, DC (June 23, 2011) — Thompson has launched SmartHRManager, a new blog for human resources and benefits professionals looking for a comprehensive and respected resource on key industry developments and trends.

SmartHRManager moves Thompson Publishing’s HR, employment law and benefits divisions into the blogosphere and continues a Thompson tradition of providing HR and benefits professionals with important information on issues such as ADA compliance, health and retirement plan administration, minimum wage, overtime, family leave, COBRA, HIPAA, health care reform and more. (more…)

CMS Scales Back Appeal Rules

cmonfils | July 4, 2011

www.modernhealthcare.com               June 27, 2011

By Rebecca Vesely

Consumer groups are dismayed over a decision by federal regulators to scale back rules on health insurance appeals and push back their implementation.

But health insurers say the changes will make the appeals process easier on customers. (more…)

Split On Taxes, Entitlements – Debt Deals, Healthcare Funding Stir Parties’ Ire

cmonfils | July 4, 2011

www.modernhealthcare.com               June 27, 2011 

By Rich Daly and Jessica Zigmond

As the outlook on the federal debt and healthcare’s prominent role in it appeared to worsen last week, political leaders in Washington headed toward a partisan standoff regarding potential solutions. (more…)

Late News: Google Announces End Of Health-Record Platform

cmonfils | July 4, 2011

www.modernhealthcare.com               June 27, 2011

Search giant Google is pulling the plug on its Google Health personal health-record platform by year’s end, giving the once-heralded flagship of the “Health 2.0” movement a lifespan of less than four years. The company made the announcement in a blog post. (more…)

U.S. Health Chief: Most States Will Run Exchanges

cmonfils | May 12, 2011

www.reuters.com                                  Wed May 11, 2011 5:24pm EDT

NEW YORK (Reuters) – Most states likely will run their own health insurance marketplaces or partner with neighbors to help expand coverage under the federal health reform law, Health Secretary Kathleen Sebelius said on Wednesday. (more…)

Aetna To Acquire Meritain Health, American Health and Scrip World through Prodigy Health Group Deal

cmonfils | May 3, 2011

www.myhealthguide.com

 MyHealthGuide Source: Aetna (NYSE: AET), 4/28/2011, www.Aetna.com

Article referred by Nigel Wallbank, Executive Vice President, Cevian Intermediaries, LLC 

HARTFORD, CT — Aetna announced that it has entered into an agreement to acquire Prodigy Health Group, the nation’s largest independent third party administrator (TPA) of self-funded health care plans. Headquartered in New York City, Prodigy Health Group has approximately 600,000 medical members, approximately 450,000 pharmacy members, and operates in 15 states.  (more…)

SIIA to Build National Grassroots Lobbying and Political Action Network

cmonfils | April 27, 2011

www.siia.org

April 27, 2011 – The Self-Insurance Institute of America, Inc. (SIIA) today announced that it will be launching a new initiative next month to build a national grassroots advocacy and political action network designed to further bolster its lobbying capabilities in Washington, DC. (more…)

PPACA Update

cmonfils | April 1, 2011

www.siia.org

April 1, 2011 – A report on the large group health insurance market published yesterday by the U.S. Department of Health & Human Services dispels negative misconceptions about self-insured group.

Please click here to view the Report

PPACA Update

cmonfils | April 1, 2011

  www.siia.org

April 1, 2011 – A report on the large group health insurance market published yesterday by the U.S. Department of Health & Human Services dispels negative misconceptions about self-insured group health plans according to the Self-Insurance Institute of America, Inc. (SIIA).

“It is very encouraging that HHS has effectively given its stamp of approval on self-insurance given that the Agency report concludes such plans do not create unique consumer protection concerns nor will they disrupt the implementation of the new health care law,” said SIIA Chief Operating Officer Mike Ferguson.   “Our work educating HHS officials during the report development process has clearly proven worthwhile.” (more…)

Free Webinar – Studying “The Study” – Analyzing the DOL’s Review of Self-Funding

cmonfils | March 31, 2011

Studying “The Study” – Analyzing the DOL’s Review of Self-Funding
April 8, 2011
1PM – 2PM EST

 

On March 30, 2011, The U.S. Department of Labor issued its long-awaited report on self-insured health plans as required by the Patient Protection of Affordable Care Act.  The report focuses on self-insured group health plans – what type of employer self-insures; whether self-funded plans are financially solvent; the purpose and effectiveness of 5500 forms; the role of stop-loss; and, do self-insured group health plans truly offer less costly coverage.   The bottom line?  Self-funding works!  The results have surprised everyone except the members of our self-funded industry. Join The Phia Group on April 8, 2011 at 1pm for a free webinar, as we analyze the report in depth and contemplate the potential repercussions we can expect from this very interesting study.  To register for this important webinar, please click here.

PPACA Update

cmonfils | March 31, 2011

www.siia.org                       March 30, 2011

The U.S. Department of Labor today has issued its long-awaited report today on self-insured health plans as required by the Patient Protection of Affordable Care Act. SIIA is currently reviewing the report and will be issuing a statement shortly regarding its content.

ACA – Group Health Plans Report – Abstract of 2008 Form 5500 Annual
ACA – Annual Report on Self-Insured Group Health Plans
ACA – Self-Insured Health Benefit Plans Report

Video to Promote HB 2430

cmonfils | March 31, 2011

The link below will take you to a video promoting  TABA’s transparency bill – HB 2430 that was filed by Rep. Kolkhorst.  It has a survey you can complete in support of the bill.  Please forward it to as many people as you can.  We will tally the survey votes -

http://pricedisclosure.blogspot.com