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...
Sep 5, 2023 | Alternative Reimbursement Strategies, Claims, Comparative Effectiveness, Cost Savings, Direct-to-Employer Contracting, Drug costs, Fair Market Pricing, Forensic claims review, High-cost claims, Inflation, MedBen Rx, MedBen WellLiving, Reference-Based Pricing, Rx Costs, Savings, Self-funding, Specialty Care, Survey, Wellness
A new survey by International Foundation of Employee Benefit Plans found employers expect plan costs to increase seven percent in 2024. As to why, they gave a range of answers, with the top four reasons representing 71 percent of responses (see chart below). As it...
Aug 21, 2023 | Claims, Fraud, MedBen Rx
The Texas Attorney General’s Office recently announced the recovery of $42.7 million in taxpayer funds… the result of enforcement action against six pharmaceutical drug manufacturers alleged to have committed fraud. The companies’ violations included...
Aug 8, 2023 | Cancer, Chronic conditions, Claims, Cost Savings, Heart, High-cost claims, MedBen WellLiving, Savings, Stop-Loss
Cancer and heart disease account for 37% of total stop-loss claim reimbursements over the past four years. This demonstrates once again the importance of a wellness program to catch chronic conditions, and reduce the risk of high-cost claims, at their earliest stages....
Jun 14, 2023 | Claims, Demographics, Out of pocket, Reporting
Million-plus dollar claims continue to increase… and not just from older plan members, according to a new report by the National Alliance of Healthcare Purchaser Coalitions (NAHPC). “Employers are seeing a rise in high-cost claims for younger plan members, with...
