Oct 18, 2022 | Cost Savings, Formularies, MedBen Rx, Pharmacy Benefits Manager (PBM), Rx Costs, Savings, White paper
Major pharmacy benefit managers (PBMs) use “smoke and mirrors” to make you believe they’re saving you money on prescription drugs: On the one hand, PBMs offer you administrative fee credits – fixed cost reductions that make up just a small portion of...
Oct 3, 2022 | Cost Savings, MedBen Rx, Own Use, Prescription, Rx Costs, Savings
Hospitals and other qualified entities have a unique opportunity for pharmacy savings through Own Use. This innovative program can save MedBen Rx clients as much as 35% when compared to standard PBM pricing.Own Use brings together non-profit health care systems and...
Sep 20, 2022 | Case Studies, Cost Savings, Direct-to-Employer Contracting, Savings
A MedBen Client switched from a traditional PPO plan to direct-to-employer (DTE) contracting in 2020. They contracted directly with a local health system, and added a wrap-around PPO network for out-of-area care. By using DTE contracted providers, any chance of...
Sep 2, 2022 | Affordable Care Act, Cost Savings, Fully Insured, Savings, Self-funding, Third party administration
Fully-insured employers may soon face double-digit premium increases… a good reason to explore making the switch to self-funding solutions.Benefits PRO reports:”Marketplace insurers are proposing a 10% premium rate hike in 2023 in 13 states and DC. An...
Jun 28, 2022 | Alternative Reimbursement Strategies, Cost Savings, Direct-to-Employer Contracting, Preferred provider organization (PPO), Reference-Based Pricing, Savings
MedBen has the answer!Our proven self-funding solutions begin with traditional PPO plans, but don’t end there. We also offer alternative reimbursement strategies such as… Traditional reference-based pricing (RBP) that pays providers a fair and reasonable...
Jun 7, 2022 | Comparative Effectiveness, Cost Plus Pricing, Cost Savings, MedBen Rx, Prescription
U.S. spending on prescription drugs have returned to pre-pandemic levels and member out-of-pocket costs continue to increase, so it’s the right time to explore pharmacy solutions that offer clinically-effective, lower-cost solutions. MedBen Rx delivers on both...
