A Bigger Rebate Isn’t a Lower Drug Bill
A large rebate can look like a bargain, but often it only offsets a higher list price. Manufacturer rebates are typically a percentage of list price, so raising the list price makes the rebate look bigger without reducing what the plan pays. That is why rebate size is...
“In Line with Trend” Is No Longer a Win
Employers heading into 2027 face another year of steep health care cost increases. Matching national trend still means absorbing a large increase. The more useful target is staying below trend — and doing it repeatedly. The difference can add up quickly. From 2021...
Transplant Carve-Outs Help Plans Contain High-Cost Risk
Transplants remain a leading source of high-cost claims and can quickly reshape a plan’s stop-loss renewal. According to Milliman’s U.S. organ and tissue transplant report, a heart transplant alone can cost nearly $1.9 million in billed charges — enough to exhaust a...
Find the Resources You Need at MedBen.com
Next time you’re on MedBen.com, give the Resources section a few extra minutes. It’s a practical hub for administrators and members who need plan tools without hunting across multiple sites. Start here: Online Services — Quick links to the tools you use most,...
MedBen Rx Lowers Pharmacy Spend through Broader Solutions
As Rx costs continue to rise, employers are looking for solutions that deliver lower pharmacy spend. MedBen Rx clients are seeing measurable results, which has helped the service grow by an average of 41.2% annually since 2021. And here are the results MedBen Rx has...
MedBen Closed September 7 in Observance of Labor Day
MedBen will be closed on Monday, September 7 in observance of Labor Day. We will reopen at 8:00 a.m. EDT Tuesday, September 8. Even when we’re closed, MedBen Access stays open. Your plan members can find fast answers for their claims and benefits questions by going to...
Weight-Loss Drugs and Pharmacy Cost Trends
GLP-1s drop weight, but with a notable side effect: Expanded employer budgets. Weight-loss drugs have led prescription drug growth over the past five years. New data show how sharply GLP-1 weight-loss drugs can increase pharmacy spending. Segal’s Health Plan Cost...
Cancer and Cardiovascular Disease Lead High-Cost Claims
Tokio Marine HCC’s 2026 Annual Market Report underscores two persistent drivers of high-cost claims. In 2025, cancers accounted for 35.2% of total costs and cardiovascular diseases another 12.7% — nearly 48% combined, far more than any other diagnostic categories....
Giving Back, Close to Home and Around the World
Giving back has long been part of MedBen’s connection to the community we serve. As a company, MedBen has supported organizations including Ohio Jobs and Family Services, The Salvation Army, United Way, Licking County Community Health Clinic, A Call to College, and...
Subrogation Savings May Be Hiding in Plain Sight
When a third party causes an injury, the chance to recover medical costs is easy to overlook. Subrogation helps self-funded plans find and recover those dollars, returning money directly to the plan without burdening employees. Through MedBen’s partnership with The...
Major PBMs Face Growing Employer Scrutiny
The share of employers using one of the three major pharmacy benefit managers — Optum Rx, CVS Caremark, or Express Scripts — fell from 63.4% in 2025 to 54.3% in 2026, according to the National Alliance of Healthcare Purchaser Coalitions’ Pulse of the Purchaser survey....
Johnson, Smith, and Rhodes Earn Account Management Promotions
MedBen is pleased to announce the promotions of Amber Johnson and Heidi Smith to Senior Account Managers. In their new roles, they will help train new representatives and have added responsibilities while continuing to provide day-to-day support for their existing...