Compliance: Your First Line of Defense Against Regulatory Challenges
Employer-sponsored health plans are subject to at least 46 federal laws, most of which apply to self-funded plans, according to a new report from the Congressional Research Service. This ever-expanding regulatory landscape raises employers' risk of legal and financial...
People Returning to In-Person Care as Telehealth Utilization Declines
Five years after the pandemic, MedBen clients have seen a general decline in telehealth visits by plan members to their family doctors, dropping 45% from its peak. Currently, only about five percent of members are still using telehealth. One exception to this trend is...
Are Avoidable ER Visits Affecting Your Plan Costs?
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,...
Need to Submit a RxDC Report? MedBen Has You Covered
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires group health plans to submit to the Centers for Medicare & Medicaid Services information about prescription drugs and health care spending. This data submission is called RxDC (for...
Vensil Promoted to TPA Client Services Manager
MedBen is pleased to announce the promotion of Angie Vensil to Manager of Client Services for MedBen Administrators. In her new position, Vensil will oversee the TPA Account Management team and coordinate new group implementation. “We're happy that Angie has...
Fair Market Reimbursement Yields 56% Discount Average for MedBen Clients
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...
Healthy Gums Just as Important as Healthy Teeth
Teeth get all the attention, but maintaining a healthy set of gums is just as essential to better health... and not only oral health, but overall health as well. Regular dental checkups, as those available through MedBen PreceDent, play a crucial role in keeping...
Benefits of Colonoscopies Over At-Home Screenings
At-home colon cancer screening tests have grown increasingly popular due to their convenience and non-invasiveness. However, colonoscopies remain the gold standard for colon cancer screening – which is why MedBen WellLiving programs typically recommend them every...
Millions of Americans Have Diabetes and Don’t Know It
Diabetes is one of the most prevalent health conditions in the United States, with more than 38 million Americans currently living with it. However, over one in five of those individuals do not know they have the disease, posing significant health risks and...
JPMorgan Sued for Allowing Inflated Drug Prices through its PBM
Current and former employees are suing the financial services firm JPMorgan for allowing inflated drug prices through its partnership with pharmacy benefits manager (PBM) CVS Caremark. The plaintiffs claim that poor PBM oversight led to unnecessarily high prescription...
End of GLP-1 Shortages Puts New Pressure on Self-funded Plans
The end of shortages on Ozempic, Wegovy, and other semaglutide injections could place added pressure on self-funded health plans to cover the costs of the high-priced medications. On February 21, the FDA confirmed that the supply of GLP-1 drugs used to treat obesity...
MedBen Connect Introduces New Feature Specifically for Plan Administrators
MedBen Connect's leading-edge health care navigation app for plan members has just introduced a new feature specifically for plan administrators – a Data Insights Dashboard. Powered through HealthJoy, the dashboard takes data collected from the...