Oct 28, 2024 | Federal Trade Commission (FTC), Pharmacy, Pharmacy Benefits Manager (PBM), Rebates, Spread Pricing
KFF Health News reports on the disparity between pharmacy benefit manager (PBM) payments to large pharmacy chains compared to small drugstores: “[An American Pharmacy Cooperative] analysis early this year showed chains were paid well beyond the family business...
Oct 25, 2024 | Affordable Care Act, Cancer, Compliance, Mastectomy, Regulatory, USPSTF, Women's health
On October 21, 2024, the Tri-Agencies (HHS, DOL, and Treasury) jointly issued FAQs About Affordable Care Act and Women’s Health and Cancer Rights Act Implementation Part 68. The document provides clarification of preventive service coverage of pre-exposure prophylaxis...
Oct 24, 2024 | Anniversaries, Announcements, MedBen Employees
At a recognition event on October 18, MedBen honored employees who are celebrating benchmark anniversaries with the company in 2024. We congratulate all this year’s celebrants and thank you for everything you do for our clients! Two employees have achieved a...
Oct 15, 2024 | Benefits preservation, Biosimilars, Cost Savings, Drug costs, High-cost claims, Rx Costs, Specialty Drugs
Specialty drugs continue to drive up pharmacy costs, accounting for over 50% of total drug spend for many self-funded health plans, despite being used by a small percentage of patients. But pharmaceutical and administrative solutions are available to help reduce that...
Oct 14, 2024 | Alternative Reimbursement Strategies, Forensic claims review, Kurt Harden, MedBen News, Pharmacogenomics, Precision medicine, Quality, Wellness
On October 1, MedBen Chairman and CEO Kurt Harden spoke on the topic “A Third-Party Payer’s Approach to Providing Quality Care While Minimizing Cost” at the 2024 Ventegra Client Conference. Ventegra serves as MedBen Rx’s pharmacy benefits partner....
