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<!doctype html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no">
<title>reveal.js</title>
<link rel="stylesheet" href="dist/reset.css">
<link rel="stylesheet" href="dist/reveal.css">
<link rel="stylesheet" href="dist/theme/white.css">
<!-- Theme used for syntax highlighted code -->
<link rel="stylesheet" href="plugin/highlight/monokai.css">
</head>
<body>
<div class="reveal">
<div class="slides">
<section>
<a href="https://revealjs.com">
<img src="https://www.phiagroup.com/Portals/phiagroup/PhiaLogo--2020.jpg" alt="Phia logo" style="height: 180px; margin: 0 auto 4rem auto; background: transparent;" class="demo-logo">
</a>
<h3>ICE Forum Presentation</h3>
<p>
<small>Corey Crigger and Scott Bennett</a></small>
</p>
</section>
<section>
<h3>General Outline</h3>
<p>
<ul>
<li>Continuum of Phia Products</li>
<li>The Cross Product Advantage</li>
<li>Tourism/Opinions/Agreements</li>
<li>Transparency</li>
</ul>
</p>
</section>
<section>
<h3>Continuum of Phia Products</h3>
<br>
<table>
<thead>
<tr>
<th>Strategy</th>
<th>Product</th>
<th>Description</th>
</tr>
</thead>
<tbody>
<tr>
<td>LEARN</td>
<td>Webinars</td>
<td>Industry experts cover the issues</td>
</tr>
<tr>
<td>PLAN</td>
<td>Plan Design</td>
<td>Plan Document Management and Drafting</td>
</tr>
<tr>
<td>IMPLEMENT</td>
<td>ICE</td>
<td>Regulatory, Compliance, and Claim Issues</td>
</tr>
</tbody>
</table>
</section>
<section>
<h3>Continuum of Phia Products (Cont.)</h3>
<br>
<table>
<thead>
<tr>
<th>Strategy</th>
<th>Product</th>
<th>Description</th>
</tr>
</thead>
<tbody>
<tr>
<td>SAVE</td>
<td>Provider Relations</td>
<td>Pricing/Negotiations, NSA/Balance Bill Support, Overpayments</td>
</tr>
<tr>
<td>SAVE</td>
<td>Subrogation</td>
<td>Identify and Recover Plan Funds</td>
</tr>
<tr>
<td>PROTECT</td>
<td>PACE</td>
<td>Post Service Second Level Appeals</td>
</tr>
</tbody>
</table>
</section>
<section>
<h3>Plan Design Key Items</h3>
<p>
<ul>
<li>Pre Service SCAs</li>
<li>Max Allowable</li>
<li>AOB Language</li>
<li>Strong Subrogation</li>
<li>Stop Loss Gaps</li>
</ul>
</p>
</section>
<section>
<h3>ICE Case Study</h3>
<p>
[Case Study Here]
</p>
</section>
<section>
<h3>Provider Relations Case Study (1/4)</h3>
<p>
Plan’s balance-bill support representative was unable to obtain any offer of settlement from the provider.
</p>
</section>
<section>
<h3>Provider Relations Case Study (2/4)</h3>
<p>
Plan's attorney: : “I have tried all the tricks I know…The last communication I had with them, I was told there are no discounts available and no patient financial assistance available, the patient needs to make payment arrangements.”
</p>
</section>
<section>
<h3>Provider Relations Case Study (3/4)</h3>
<p>
Phia researched machine readable files, Phia clinical staff also provided a review of the UB, and stated the Plan was not willing to negotiate against itself. The case settled below the benchmark rates.
</p>
</section>
<section>
<h3>Provider Relations Case Study (4/4)</h3>
<p>
Lessons Learned: Persistence combined with expert research can break through an impasse in stalled negotiations. In this case UNWRAPPED saved the plan nearly $200,000.00.
</p>
</section>
<section>
<h3>PACE Case Study</h3>
<p>
[Case Study Here]
</p>
</section>
<section>
<h3>Subrogation Case Study</h3>
<p>
[Case Study Here]
</p>
</section>
<section>
<h3>The Open Door Advantage</h3>
<p>
At Phia departments regularly collaborate to achieve better results.
</p>
<p>
[Case Study 1 Here]
<br>
[Case Study 2 Here]
</p>
</section>
<section>
<h3>Added Value Products</h3>
<br>
<table>
<thead>
<tr>
<th>Strategy</th>
<th>Product</th>
<th>Advantage</th>
</tr>
</thead>
<tbody>
<tr>
<td>SAVE</td>
<td>Medical Tourism</td>
<td>Plan Design encourages high quality and low cost.</td>
</tr>
<tr>
<td>OUTCOMES</td>
<td>Second Opinions</td>
<td>VSO to encourage the best outcomes</td>
</tr>
<tr>
<td>SAVE</td>
<td>Direct Agreements</td>
<td>Customized to the needs of the local employer and provider</td>
</tr>
<tr>
<td>SAVE</td>
<td>Provider Relations</td>
<td>Pricing/Negotiations, NSA/Balance Bill Support, Overpayments</td>
</tr>
</tbody>
</table>
</section>
<section>
<h3>Plan And Provider Transparency</h3>
<p>
<ul>
<li>Public Record ASAs and Plans</li>
<li>Public Record Quality and Price Data</li>
<li>Data As Applied **DEMO**</li>
<li>Diapers And Wipes Program</li>
</ul>
</p>
</section>
<section>
<h3>Thank You!!</h3>
<p>
Questions???
</p>
</section>
</div>
</div>
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<script src="plugin/notes/notes.js"></script>
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<script src="plugin/highlight/highlight.js"></script>
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plugins: [ RevealMarkdown, RevealHighlight, RevealNotes ]
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</body>
</html>