May 11, 2022 | Air medical transports, Alternative Reimbursement Strategies, Client Report, Client Surveys, Comparative Effectiveness, Direct-to-Employer Contracting, Forensic claims analysis, Health Plan Management, HealthJoy, ISO, MedBen Access, MedBen Analytics, MedBen Rx, MedBen WellLiving, Mobile App, New Solutions, No Surprises Act (NSA), Online Services, Quality, Reference-Based Pricing, Savings, Self-funding, Third party administration
The 2022 MedBen Client Report is now available for download from MedBen.com! This year’s Client Report focuses on: New solutions like MedBen Rx comparative effectiveness, air ambulance reviews, No Surprises Act administrative services, and HealthJoy TPA+, as...
Apr 15, 2022 | Alternative Reimbursement Strategies, Cost Savings, Direct-to-Employer Contracting, Forensic claims analysis, MedBen Rx, MedBen University, MedBen WellLiving, Reference-Based Pricing, Savings
Clients throughout the Midwest attended the MedBen University (MBU) Virtual Employer Roundtable on April 28. The online event, open to both public and private employers, highlighted real results – MedBen solutions that are working for clients.Real results that MedBen...
Feb 8, 2022 | Claims negotiation, Cost Savings, Discounts, Forensic claims analysis, Out of network, Savings
A MedBen Client received a $160,109 claim for an out-of-network back surgery. After the claim was repriced, the unusually high cost for this procedure was flagged by our claims surveillance. Due to this, a MedBen-contracted orthopedic specialist reviewed the claim and...
Dec 13, 2021 | Administrative Services Only, Alternative Reimbursement Strategies, Claims Management, Cost Savings, Forensic claims analysis, MedBen Rx, MedBen WellLiving, Savings, Self-funding
Because your health plan belongs to you. A plan should be built around your goals, not the insurance carrier’s. The one-size-fits-all approach used by Administrative Services Only (“ASO”) organizations just won’t cut it if you want the best...
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...
Jul 27, 2021 | Forensic claims analysis, Stop-Loss, Trend
The number of claims in excess of $1 million has risen at an unprecedented rate in recent years… but MedBen forensic claims review is helping to control the effect of high-cost claims. The graph below from stop-loss carrier Tokio Marine HCC shows its 2012-20...
