Aug 21, 2023 | Claims, Fraud, MedBen Rx
The Texas Attorney General’s Office recently announced the recovery of $42.7 million in taxpayer funds… the result of enforcement action against six pharmaceutical drug manufacturers alleged to have committed fraud. The companies’ violations included...
Aug 8, 2023 | Cancer, Chronic conditions, Claims, Cost Savings, Heart, High-cost claims, MedBen WellLiving, Savings, Stop-Loss
Cancer and heart disease account for 37% of total stop-loss claim reimbursements over the past four years. This demonstrates once again the importance of a wellness program to catch chronic conditions, and reduce the risk of high-cost claims, at their earliest stages....
Jun 14, 2023 | Claims, Demographics, Out of pocket, Reporting
Million-plus dollar claims continue to increase… and not just from older plan members, according to a new report by the National Alliance of Healthcare Purchaser Coalitions (NAHPC). “Employers are seeing a rise in high-cost claims for younger plan members, with...
Mar 31, 2023 | Claims, Claims Management, Direct-to-Employer Contracting, Forensic claims review, MedBen University, Medical necessity, Roundtables
Contracting directly with a health system offers employers pricing control, member access to high-quality local care, and the flexibility to create multiple benefit options. At this year’s MedBen University roundtables, Regional Sales Director Brooke Hupp...
Mar 20, 2023 | Brian Fargus, Claims, Claims Management, Inflation, MedBen University, Transplants, Wellness
At the MedBen Broker Roundtable on March 16, Vice President of Sales & Marketing Brian Fargus discussed the trend of rising multi-million-dollar claims, and offered a variety of proven solutions. Citing a recent Sun Life high-cost claims analysis, Fargus said,...
Feb 3, 2023 | Alternative Reimbursement Strategies, Claims, Cost Savings, Direct-to-Employer Contracting, Drug costs, Forensic claims review, Gene therapy, Health care costs, Inflation, MedBen Rx, MedBen WellLiving, Prescription, Rx Costs, Savings, Specialty Drugs, Wellness
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...
