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...
Feb 22, 2021 | Claims Management, COVID-19, Stop-Loss
To educate employers on the financial effect of COVID-19 from a stop-loss perspective, Tokio Marine HCC Stop Loss Group (TMHCC) has gathered self-funded claims data where the primary diagnosis was COVID-19 or COVID-19-related. In 2020, TMHCC paid 958 COVID-19 claims...
Jan 26, 2021 | Announcements, Claims Management, Cost Savings, Forensic claims analysis, Savings
In 2020, MedBen clients saved on average an additional 53.4% on targeted claims through our forensic claims review. These savings are in addition to any PPO discounts. Forensic claims review brings together skilled claims examiners, an advanced surveillance system,...
Jan 12, 2021 | Account Management, Claims Management, Client Feedback, Client Services, Client Surveys, Customer Service, ISO, MedBen Employees
Here are results from MedBen Client Satisfaction Surveys received in 2020 (rating averages based on a 1-to-5 scale): Medical claims accuracy and turnaround: 4.6 Rx claims accuracy and turnaround: 4.7 Timeliness in answering Customer Service calls: 4.7 Customer Service...
Oct 16, 2020 | Claims Management, Cost Savings, Direct-to-Employer Contracting, MedBen Rx, Pharmacy Benefits Manager (PBM), Prescription, Rebates, Reference-Based Pricing, Rx Costs, Savings, Spread Pricing
A National Alliance of Healthcare Purchaser Coalitions survey asked employers what they thought were the greatest threats to coverage affordability. Their responses… and how MedBen counters these concerns with proven saving solutions: Drug prices are a threat to...
Apr 17, 2020 | Alternative Plan Design, Claims Management, Cost Savings, COVID-19, Direct-to-Employer Contracting, MedBen Rx Advocate, Plan Design, Prescription, Reference-Based Pricing, Self-funding, Third party administration, Wellness
BenefitsPRO reports that “employers’ health care benefit costs could jump by as much as 7 percent this year due to the COVID-19 outbreak – on top of the 5 percent increase that employers had previously projected before the pandemic.” That’s why it’s essential for...
