Independent Dispute Resolution on Hold Due To Lawsuit
Independent Dispute Resolution (IDR) review decisions have been placed on hold due to a lawsuit brought forth by the Texas Medical Association (TMA). The lawsuit challenges the Final Rules of the No Surprises Act, specifically those relating to how the Qualified...
Is the End in Sight for COVID-19 Mandatory Plan Compliance?
On Monday, January 30, 2023 the Biden Administration announced that both the National Health Emergency and the HHS Public Health Emergency will end on May 11, 2023. The news came in the form of a statement of administration policy typically issued in response to...
The 2023 MedBen University Season Starts Soon!
The 22nd Season of MedBen University (MBU) will soon be in session! In 2023, MBU will explore current benefit management issues and proven solutions MedBen offers, including: Reducing Rx spend through alternative specialty drug funding, as well as other pharmacy plan...
Why Health Care Costs Will Rise in 2023 – and How You Can Control Them
Even though health care costs have not seen the same rate of inflation as other industries, that's about to change. Fortunately, MedBen has a variety of inflation-hedging solutions to counter rising costs. As a recent Self-Insurer article notes, health care costs...
Plan Administrators Can Now Print Member ID Cards from MedBen Access
Plan members have always had the ability to print their ID cards, but now employers can do so as well! A new feature on the desktop version of MedBen Access allows plan administrators to select, download and print member ID cards in just a few simple steps. Both...
PBMs, GoodRx on the Legislative Hot Seat
Pharmacy benefits managers (PBMs) are increasingly being called to answer for their questionable business practices at multiple levels of government. On the state level, in recent months: A major PBM has settled with Iowa and at least 14 other states for overbilling...
Download the Annual Compliance Deadlines List
To keep you "in the know" about mandatory regulatory due dates for health plan sponsors, the MedBen Compliance team recently compiled a "Self-funded Plan Sponsors Annual Compliance Deadlines" list. We encourage you to download this document and keep it handy....
How Do Health Plans Manage High-Cost Drug Spend?
In two recent articles, we touched on the growing prevalence of high-cost drugs, some with price tags in the thousands and even millions of dollars: Drugmakers are raising prices on over 350 unique drugs this month.Innovative gene therapies have emerged that cost as...
MedBen Access Mobile App Now Features Biometric Recognition
Logging on to the MedBen Access mobile app has just become faster and easier! Users can now enable biometric recognition to use their face ID or fingerprint to access claims and benefits information. In addition, we've added a "Forgot User ID or Password" button in...
High Out-of-Network Claims? Get “Unwrapped”
If your plan has a primary network structure, MedBen has an ideal way to lower your costs on out-of-network care – saving you, on average, 76% off of billed charges. We've partnered with The Phia Group to offer Unwrapped, a comprehensive pricing solution....
MedBen 2022 Client Satisfaction Survey Results
Here are results from MedBen Client Satisfaction Surveys received in 2022 (rating averages based on a 1-to-5 scale): Overall Satisfaction: 4.9 Claims Payment Accuracy and TurnaroundMedical claims accuracy and turnaround: 4.9Rx claims accuracy and turnaround: 5.0...
NSA Updates Include Fee Increases, Reporting Deadline Extension
Higher fees and an extended reporting deadline are among the updated No Surprises Act (NSA) guidance and relief released by the Departments of Labor, Health and Human Services, and Treasury (the "Tri-Agencies") on December 23. Specific updates include: An increase to...