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...
Dec 22, 2023 | Acquisition Cost Index (ACI) pricing, Cost Plus Pricing, Cost Savings, Drug costs, MedBen Rx, Pharmacy, Prescription, Rx Costs, Savings, Spread Pricing
Spread pricing is the difference between what pharmacy benefit managers (PBMs) charge health plans for drugs and what the pharmacy actually pays for them. Often, this “spread” can be substantial, as PBMs profit greatly from their lack of transparency… so it’s not...
Nov 28, 2023 | Cancer, Cost Savings, Mental Health, Pharmacy, Prescription, Savings, Survey, Transparency
A recent survey of large employers by the Business Group on Health revealed considerations that self-funded plans expect to focus on in the coming year, including: Pharmacy costs. High-priced drugs and overall pharmacy costs are a source of concern for over 90% of...
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...
Nov 24, 2023 | Cost Savings, MedBen Access, Member Prescription Portal, Mobile App, Online Services, Pharmacy, Prescription, Prescription Portal
In addition to the pharmacy solutions MedBen Rx provides to lower employer drug spend, plan members also have a great resource to help keep their prescription costs down. The MedBen Rx Prescription Portal, available through MedBen Access online or via our mobile app,...
