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...
Apr 2, 2024 | Case Studies, Claims, Claims Management, Claims negotiation, Cost Savings, Forensic claims review, Savings
Claim savings don’t have to end with the PPO network discount. With MedBen’s forensic claims review services, savings are produced after network discounts are applied, but before claims are paid. As the case study below shows, while PPO network discounts alone...
Feb 6, 2024 | Claims, Claims data, Cost Savings, Drug costs, Gene therapy, Genetic testing, MedBen News, MedBen Rx, MedBen University, Pharmacogenics, Pharmacy Benefits Manager (PBM), Self-funding, Specialty Drugs, Stop-Loss
MedBen recently had the honor to welcome some of the most respected names in the benefits management industry. At the invitation-only 2024 Benefits Advisory Conference on January 26, attending brokers learned about health plan innovations that will help self-funded...
Feb 1, 2024 | Balance billing, Claims, Claims negotiation, Cost Savings, Health care costs, Out of network, Unwrapped
Even with a solid primary network plan in place, expensive out-of-network medical bills can result in higher-than-expected health care costs. To guard against this, MedBen offers Unwrapped, a comprehensive pricing solution that reduces your billed changes by an...
Jan 2, 2024 | Biometric recognition, Claims, Drug costs, Flexible spending accounts (FSAs), Health Benefits, Health reimbursement arrangements (HRAs), ID Card, MedBen Access, Mobile App, Online Services, Wellness
Based on client survey feedback, some plan members aren’t aware that MedBen offers a mobile app… so we’ve created a flyer to help spread the word! MedBen Access has long been available online, but for those who prefer smartphone convenience, the...
Nov 27, 2023 | Case Studies, Claims, Claims negotiation, Cost Savings, Forensic claims review
A MedBen client realized an overall savings of 62% through repricing, forensic claims review, and provider negotiation. The client in question received a claim for IV infusion to a member with iron deficiency. After the PPO discount, MedBen saw an opportunity to...
