Self-Funding Solutions.
Since 1938, MedBen has helped groups of all sizes manage their benefits plan… and today, self-funding offers employers an unprecedented level of plan control. We work with employers both large and small to maximize the advantages of self-funded plans, including ultimate flexibility and saving opportunities.
Savings.
You keep any money that doesn’t go toward paying claims… and MedBen helps you keep as much of that money as possible.
Flexibility.
Regulatory.
If you’re fully insured, MedBen can assist you in making the switch to self-funding. And if you already have a self-funded plan in place, you’ll find that we offer outstanding service and benefit management tools.
MedBen Forensic Claims Analysis… Talent + Technology
MedBen forensic claims analysis blends talent and technology to help employer plans defy national claim cost trends. We start with a skilled examiner team that processes claims based on your specific plan benefits.
MedBen complements internal processing with advanced surveillance software. On claims identified for potential savings, board-certified medical specialists work them to find cost-saving solutions.
Claim Processing: Traditional vs. MedBen
MedBen claims processing starts and ends like traditional claim processing. It’s what we do in between that makes the difference.
Data Analysis to Maximize Your Plan Potential
It’s one thing to promise lower costs, and another to prove it. That’s why MedBen provides clients with measurable and actionable reports that show not only how we help you reduce your health care spending, but reveal opportunities for future savings.
With our secure online dashboard, you can spot risks, study trends and identify opportunities for improving care and reducing costs. The dashboard gives you ready access to plan data, while benchmarking capabilities allow you to compare your plan performance against regional and national norms.
Coverage Strategies
Benefits managers are extolling “innovative” new ideas to lower their clients’ health care costs. We agree that they are great ideas… so much so, many MedBen clients have had these alternative coverage strategies in place for years and already benefit from healthier employee populations and reduced coverage costs.
Reference-Based Pricing
Direct-to-Employer Contracting
Bundled Payment Services
Stop-Loss: More Choice, Better Protection
Stop-loss provides added financial protections to make self-funding even more appealing. A stop-loss carrier serves as a safety net for catastrophic claims and balances quality coverage with cost considerations.
MedBen offers stop-loss independence. We shop multiple carriers to ensure that clients retain the desired level of specific and aggregate protection, and negotiate the best possible rates.
I just wanted to thank you on behalf of Bartlett City Schools employees for sending EDITH to be at our employee meetings. All the employees I talked with spoke highly of her knowledge and ability to offer solutions.
Fast Facts
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Average savings on MedBen clinically reviewed claims (after discounts and coinsurance)
%
Claims payment accuracy
%
Average client savings from reference-based pricing compared to previous PPO discount
Building a Better Self-funded Plan for You
The Medical Benefits Administrators model is designed to deliver the tools necessary for your plan to succeed, whether it’s our flexible claims management system, our technology to unveil important decision support data, or our service solutions built around the voice of the customer and continuous improvement. In short, our goal is to link our success to that of our clients.
Self-funding Saves. MedBen Delivers.
Download the MedBen Client Report
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Benchmarking
MedBen Analytics' benchmarking capabilities enable you to compare your data against state and national norms and/or specific industries. You can narrow your benchmarks by plan type, number of lives and other metrics to get a true measure of how your plan stacks up.
Your benchmarking choice is immediately reflected on the dashboard content.
Straight RBP
Providers receive fair reimbursement by using Medicare pricing as the primary source of repricing. And because your plan no longer has a PPO, your plan members can go anywhere they choose for medical care.
Pharmacy Cost Plus Pricing
RBP for your prescription drugs.
Layered RBP
Target high-cost medical treatments, such as kidney dialysis.
An Extensive Reporting Library
Once you've chosen your population, reporting period and benchmark preferences, just sit back and watch MedBen Analytics go to work for you. Dozens of charts, graphs and tables, instantly generated. Our financial, clinical, risk and savings reports show you what is working with your plan while highlighting areas of potential improvement.
Download the MedBen Client Report
We'd appreciate it if you would provide a little information about yourself. Thanks!