Jul 22, 2024 | Alternative Reimbursement Strategies, Cost Savings, Direct-to-Employer Contracting, Preferred provider organization (PPO), Savings
A new survey on health and benefit strategies for 2025 finds that one-third of large employers will offer an “alternative medical plan” to steer employees to quality, cost-effective care. At MedBen, nearly half of our clients have implemented alternative...
Jul 19, 2024 | Cancer, Preventive Care, Research, Smoking, Study, Wellness
According to a study by the American Cancer Society, four out of ten cancer cases and almost half of cancer deaths in U.S. adults aged 30 and older are associated with modifiable risk factors. In 2019, these factors were linked to over 700,000 new cancer cases and...
Jul 18, 2024 | Claims, Claims negotiation, Compliance, Subrogation
If one of your plan members is injured as the result of an accident, it’s possible that subrogation may be necessary. Subrogation is a recovery process in which medical claim costs resulting from the injury, initially covered by the employer, are reimbursed from...
Jul 9, 2024 | Cancer, Claims, Client Report, Heart, Heart disease, High-cost claims, MedBen WellLiving, Preventive Care, Stop-Loss, Wellness, Wellness exam, Wellness screenings
Cardiovascular disease (CVD) has risen to second place on the list of top stop-loss reimbursements, according to Sun Life’s annual report of high-cost claims – the first time the condition has ranked so high. As in past years, the report underlines the...
Jul 8, 2024 | Affordable Care Act, Compliance, Department of Health and Human Services (HHS), Department of Labor, News, Regulatory, Supreme Court, Treasury Department
Last month, in a 6 to 3 decision, the U.S. Supreme Court overturned the “Chevron Deference” doctrine. The Chevron Deference is a principle of administrative law that has required courts to defer to how regulatory agencies interpret federal statutes (legislation...
