Sep 5, 2023 | Alternative Reimbursement Strategies, Claims, Comparative Effectiveness, Cost Savings, Direct-to-Employer Contracting, Drug costs, Fair Market Pricing, Forensic claims review, High-cost claims, Inflation, MedBen Rx, MedBen WellLiving, Reference-Based Pricing, Rx Costs, Savings, Self-funding, Specialty Care, Survey, Wellness
A new survey by International Foundation of Employee Benefit Plans found employers expect plan costs to increase seven percent in 2024. As to why, they gave a range of answers, with the top four reasons representing 71 percent of responses (see chart below). As it...
Aug 4, 2023 | Algorithms, Forensic claims review, Lawsuits, Self-funding
In claims progressing, algorithms – mathematical formulas used to scrutinize particular elements of a claim form – can be good when used to ensure the accuracy and consistency of claim payments… but bad when used as a tool to deny claims. In a class action...
May 16, 2023 | Alternative Reimbursement Strategies, Announcements, Case Studies, Client Report, Client Services, Client Surveys, Communication, Compliance, Cost Plus Pricing, Cost Savings, Direct-to-Employer Contracting, Drug costs, Forensic claims review, HealthJoy, Inflation, Kurt Harden, MedBen Rx, MedBen WellLiving, Member engagement, Mobile App, Online Services, Own Use, Pharmacy, Pharmacy Benefits Manager (PBM), Plan Design, Plan Language, Prescription, Reference-Based Pricing, Regulatory, Rx Costs, Savings, Self-funding, Specialty Drugs, Supreme Court, Wellness
The 2023 MedBen Client Report is now available to download from MedBen.com! In his opening note, MedBen President Kurt Harden states: “This Client Report is designed to demonstrate ways that clients can generate greater value from their health plan. With health...
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...
May 11, 2022 | Air medical transports, Alternative Reimbursement Strategies, Client Report, Client Surveys, Comparative Effectiveness, Direct-to-Employer Contracting, Forensic claims analysis, Health Plan Management, HealthJoy, ISO, MedBen Access, MedBen Analytics, MedBen Rx, MedBen WellLiving, Mobile App, New Solutions, No Surprises Act (NSA), Online Services, Quality, Reference-Based Pricing, Savings, Self-funding, Third party administration
The 2022 MedBen Client Report is now available for download from MedBen.com! This year’s Client Report focuses on: New solutions like MedBen Rx comparative effectiveness, air ambulance reviews, No Surprises Act administrative services, and HealthJoy TPA+, as...
Dec 13, 2021 | Administrative Services Only, Alternative Reimbursement Strategies, Claims Management, Cost Savings, Forensic claims analysis, MedBen Rx, MedBen WellLiving, Savings, Self-funding
Because your health plan belongs to you. A plan should be built around your goals, not the insurance carrier’s. The one-size-fits-all approach used by Administrative Services Only (“ASO”) organizations just won’t cut it if you want the best...
