Feb 6, 2023 | Announcements, Benchmarks, Case Studies, Compliance, Direct-to-Employer Contracting, MedBen Rx, MedBen University, Roundtables, Rx Costs, Specialty Drugs, Supreme Court
The 22nd Season of MedBen University (MBU) will soon be in session! In 2023, MBU will explore current benefit management issues and proven solutions MedBen offers, including: Reducing Rx spend through alternative specialty drug funding, as well as other pharmacy plan...
Sep 20, 2022 | Case Studies, Cost Savings, Direct-to-Employer Contracting, Savings
A MedBen Client switched from a traditional PPO plan to direct-to-employer (DTE) contracting in 2020. They contracted directly with a local health system, and added a wrap-around PPO network for out-of-area care. By using DTE contracted providers, any chance of...
Mar 22, 2022 | Case Studies, Comparative Effectiveness, Cost Savings, MedBen Rx, Prescription, Rx Costs, Savings
MedBen Rx comparative effectiveness represents the next generation of pharmacy solutions, saving the employer money while also impacting member health. One such client recently engaged MedBen Rx to help them implement a pharmacy benefit design driven by clinical...
Feb 22, 2022 | Announcements, Case Studies, Comparative Effectiveness, Direct-to-Employer Contracting, MedBen University
The 21st Season of MedBen University (MBU) will soon be underway! In 2022, MBU will be focused on innovative solutions to benefit your plan, including: Finding the most clinically effective drugs at the best cost.An industry-leading technology experience &...
Nov 30, 2021 | Case Studies, Cost Savings, MedBen Rx, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Savings
In their first year with MedBen Rx, a regional health system lowered costs by $4.6 million through pharmacy savings and added revenue. This includes a 30% reduction in employee pharmacy plan spend. The health system had previously entered into three-year agreement...
Oct 6, 2021 | Case Studies, Claims, Claims Management, Cost Savings, Forensic claims analysis, Savings
A MedBen Client received two large dollar claims for Mast Cell Activation Disease, both of which were flagged. In addition to occurrences of unbundling, following physician review it was determined that the length of hospital stay exceeded standards for medical...
