Mar 25, 2025 | Alternative Reimbursement Strategies, Cost Savings, Discounts, Fair market reimbursement, Health care costs
MedBen clients who used Fair Market Reimbursement in 2024 yielded a discount average of 56% with an appeals rate of just 0.23%. MedBen’s Fair Market Reimbursement combines the best aspects of PPOs and reference-based pricing by evaluating all types of claims to...
Mar 21, 2025 | Cost Savings, Emergency Room (ER), Family doctors, Health care costs, Primary Care, Urgent Care
For MedBen clients in 2024, 15% of emergency room visits were potentially avoidable… typically for conditions that could have been better managed in a more cost-effective setting. A visit to an urgent care facility or family doctor can save a plan member, on average,...
Feb 24, 2025 | Benefits preservation, Cost Savings, Drug costs, MedBen Rx, Rx Costs, Savings, Specialty Drugs
High-cost specialty drugs can make up more than 60% of a health plan’s pharmacy costs. MedBen Rx’s benefit preservation program is designed to make certain that members have continued access to medications while reducing specialty drug spend to the...
Feb 10, 2025 | Chronic conditions, Cost Savings, Drug costs, Flexible spending accounts (FSAs), Health care costs, MedBen Rx, Pharmacogenomics, Rx Costs, Savings
Now available through MedBen Rx, pharmacogenomic testing is transforming health care through safer and more effective personalized medicine. Determining how genes affect a person’s response to drugs not only improves patient outcomes, but it also helps control...
Jan 28, 2025 | Administrative Services Only, Claims, Cost Savings, Discounts, Forensic claims review, Preferred provider organization (PPO), Savings
Many Administrative Services Only (ASO) carriers boast rapid claim turnarounds through auto-adjudication… an emphasis on speed that can result in overpayment. But MedBen forensic claims review prioritizes accountability to ensure that you pay the right price for...
Dec 30, 2024 | Cost Savings, Direct-to-Employer Contracting, Formularies, Health care costs, Networks, Pharmacy Benefits Manager (PBM), Research
A recent “Pulse of the Purchaser” survey offers interesting insights about strategies employers are using to successfully lower their medical and pharmacy costs… strategies that, not surprisingly, have long been in use by many MedBen clients. Among...
