Jul 18, 2024 | Claims, Claims negotiation, Compliance, Subrogation
If one of your plan members is injured as the result of an accident, it’s possible that subrogation may be necessary. Subrogation is a recovery process in which medical claim costs resulting from the injury, initially covered by the employer, are reimbursed from...
Jul 9, 2024 | Cancer, Claims, Client Report, Heart, Heart disease, High-cost claims, MedBen WellLiving, Preventive Care, Stop-Loss, Wellness, Wellness exam, Wellness screenings
Cardiovascular disease (CVD) has risen to second place on the list of top stop-loss reimbursements, according to Sun Life’s annual report of high-cost claims – the first time the condition has ranked so high. As in past years, the report underlines the...
Jul 8, 2024 | Affordable Care Act, Compliance, Department of Health and Human Services (HHS), Department of Labor, News, Regulatory, Supreme Court, Treasury Department
Last month, in a 6 to 3 decision, the U.S. Supreme Court overturned the “Chevron Deference” doctrine. The Chevron Deference is a principle of administrative law that has required courts to defer to how regulatory agencies interpret federal statutes (legislation...
Jul 5, 2024 | Biosimilars, Cost Savings, Humira, MedBen Rx, News, Rx Costs, Savings
The Food and Drug Administration is considering a change to its biosimilar policy that would greatly speed up their approval process – which, if enacted, would be a big win for MedBen Rx clients who are already reducing their prescription drug spend through...
Jul 3, 2024 | Flexible spending accounts (FSAs), Health reimbursement arrangements (HRAs), ID Card, MedBen Access, Mobile App, Rx Costs, Wellness compliance
If your plan members haven’t downloaded the MedBen Access mobile app, they’re missing out! Not only does the app provide timely claims and benefits information, it offers a variety of tools to help members better manage their benefits. Drug pricing...
