Air Ambulance Reviews Save Clients $1.05 Million
In the short time MedBen has offered air ambulance review services, we've saved our clients a net total of $1,049,496. Since introducing these services, our team of experts has reviewed 27 claims for non-network air medical transports, at an average submitted amount...
HealthJoy TPA+ Concierges Help Your Employees Navigate Healthcare
Adding MedBen's HealthJoy TPA+ technology experience gives your employees access to a team of healthcare concierges who will help them navigate the healthcare system. These concierges are highly-trained specialists from a wide variety of backgrounds who work together...
MedBen Rx Solutions Let You Call the Shots
Pharmacy benefit managers (PBMs) are profiting at the expense of consumers and payers, finds a new report from the PBM Accountability Group. MedBen Rx counters such tactics with pharmacy solutions that ensure you know exactly what a drug costs. From Benefits Pro:...
Why Add Strategic Spousal Language?
Because you don't want to be on the negative end of adverse selection. About 1 in 5 employers currently use spousal limitations, ranging from surcharges and carve-outs to exclusion of all spouses from the plan. Spousal limitations can reduce the chances of adverse...
FSA Debit Receipt Upload Now Available on MedBen Access
You can now upload and submit an image or PDF of your MedBen FSA debit card substantiation receipts on the desktop version of MedBen Access! To submit substantiation receipts, simply: Log in to MedBen Access.Hover over "My FSA/HRA" on the top menu and then select "FSA...
Beware of Misleading Prescription Drug Advertising
Pharmaceutical company Eli Lilly has received back-to-back letters regarding deceptive drug advertising. In December 2021, the FDA's Office of Prescription Drug Promotion (OPDP) informed Eli Lilly that its TV ads made "false or misleading claims and/or representations...
Want to See Exactly Where Your Health Care Dollars are Going?
The Utilization Metrics report shows you. Utilization metrics is one of the most popular and informative reports available on the MedBen Analytics online portal... and it's one you can generate just with a few clicks. With this report, you can view member utilization...
Many Drugs Seeing Price Increases in 2022
GoodRx is currently compiling a list of drugs that will cost consumers more in 2022. By January 17, 669 drugs will have experienced price increases, with an average increase of 5.0%. All but 11 on the list are brand-name medications. The list includes such well-known...
Claims Surveillance Saves Client an Additional 52% on Back Surgery Claim
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...
Reimbursement Strategies End the Pricing Guesswork
Innovative MedBen alternative reimbursement strategies like direct-to-employer (DTE) contracting and reference-based pricing (RBP) put an end to pricing guesswork. You probably know that traditional PPO plans allow for a wide range of service pricing between...
New DOL Guidance Requires Health Plans to Cover Cost of COVID-19 Over-the-Counter Test Kits
On January 10, 2022, the Department of Labor issued FAQ Part 51, which provides new guidance on compliance with the Families First Coronavirus Response Act (FFCRA) and the Coronavirus Aid, Relief, and Economic Security Act (CARES). The new guidance includes a coverage...
A Note from Our President & CEO
On behalf of everyone at MedBen, I would like to wish you a Happy New Year and thank you for your continued business! In my 30 years with MedBen, I've seen first-hand how benefits management has evolved. From reimbursement strategies offering flexible design and lower...