Apr 16, 2024 | Biosimilars, Cost Savings, Drug costs, Humira, MedBen Rx, Pharmacy, Prescription, Rx Costs, Savings
Last year, MedBen Rx announced a new program that would enable clients to purchase Idacio, a biosimilar version of the anti-inflammatory therapy Humira – a drug that typically costs between $6,000 and $12,000 per month depending on the dose – for under $1,000 per...
Apr 15, 2024 | Alternative Reimbursement Strategies, Benchmarks, Cost Savings, Fair market reimbursement, Savings
At the Private Employer Roundtable on April 11, Regional Sales Director Brooke Hupp highlighted alternative reimbursement strategies that reduce health care costs, including MedBen’s newest strategy, Fair Market Reimbursement (FMR). This innovative approach...
Apr 12, 2024 | Announcements, Centers for Medicare & Medicaid Services (CMS), Compliance, Medicare, News, Regulatory
On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the “Rate Announcement”). The Rate Announcement...
Apr 11, 2024 | American Heart Association (AHA), Heart, MedBen WellLiving, Obesity, Primary Care, Research, Wellness, Wellness exam
Regular primary care visits are crucial to preventing chronic heart conditions, a new study of personal health habits suggests. Jeremy Sussman of the University of Michigan Department of Internal Medicine said, “As a society, we need to recognize that preventing...
Apr 2, 2024 | Case Studies, Claims, Claims Management, Claims negotiation, Cost Savings, Forensic claims review, Savings
Claim savings don’t have to end with the PPO network discount. With MedBen’s forensic claims review services, savings are produced after network discounts are applied, but before claims are paid. As the case study below shows, while PPO network discounts alone...
