A Note from Our President & CEO
On behalf of the MedBen team, I wish you a happy and prosperous new year and thank you for your continued trust in MedBen. In 2023, we celebrated our 85th Anniversary. Those years have been marked by a variety of challenges and successes but I am particularly...
Review Your Plan Year with MedBen Analytics
A reminder as 2023 comes to a close: MedBen Analytics offers 1) an interactive employer dashboard and 2) a variety of customizable, downloadable reports, enabling you to get actionable information about the past 12 months. The employer dashboard is actually two...
It’s Time to Prepare for Filing Your 1095s
It is that time of year when self-funded employers need to start preparing for a critical health care reform mandate: Providing the IRS with an accurate accounting of health coverage for full-time employees via IRS Forms 1094 and 1095. Per the Affordable Care Act,...
MedBen Client Saves 62% through Claims Review and Negotiation
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...
ACI Drug Pricing Beats the PBM “Spread”
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...
“Gag Clause” Deadline Is December 31st
An important reminder: Group health plans are required to attest that they are in compliance with the Consolidated Appropriations Act’s gag clause prohibition no later than December 31, 2023. The 2021 federal law requires that all group health plan sponsors file an...
MedBen Employees Again Answer Santa’s Call
This year, MedBen partnered with Families Helping Families and House of New Hope, and received the Christmas wish lists of 14 children. Through multiple employee fundraising drives throughout the year, we were able to make sure each child's "wish list" came true. For...
MedBen Rx Portal Helps Members Find Drugs at the Best Prices
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,...
Federal Dispute Resolution Administrative Fees to Increase in January
This past August, a federal court in the Eastern District of Texas vacated certain portions of regulatory guidance establishing the fees charged under the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process. In response to the court’s Order, on...
Season’s Greetings from MedBen!
MedBen will be closed to observe Christmas Day on Monday, December 25, and reopen at 8:00 a.m. EST on Tuesday, December 26. For the New Year’s holiday we will be closed on Monday, January 1, and reopen at 8:00 a.m. EST on Tuesday, January 2. Remember that if you need...
Pharmacy Costs, Cancer Among Top Employer Considerations for 2024
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...
Weight Loss Drugs Continue to Pressure Health Plan Costs
In light of all the attention that weight loss drugs have received lately – as well as the pricing havoc these drugs have been causing in some pharmacy plans – the following news items have caught our attention: North Carolina says its health plan will...