Dec 22, 2023 | Acquisition Cost Index (ACI) pricing, Cost Plus Pricing, Cost Savings, Drug costs, MedBen Rx, Pharmacy, Prescription, Rx Costs, Savings, Spread Pricing
Spread pricing is the difference between what pharmacy benefit managers (PBMs) charge health plans for drugs and what the pharmacy actually pays for them. Often, this “spread” can be substantial, as PBMs profit greatly from their lack of transparency… so it’s not...
Dec 21, 2023 | Announcements, Compliance, Independent Dispute Resolution (IDR), No Surprises Act (NSA), Regulatory
This past August, a federal court in the Eastern District of Texas vacated certain portions of regulatory guidance establishing the fees charged under the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process. In response to the court’s Order, on...
Dec 20, 2023 | Benchmarks, Employer Dashboard, MedBen Analytics, Plan changes, Plan Design, Reporting
A reminder as 2023 comes to a close: MedBen Analytics offers 1) an interactive employer dashboard and 2) a variety of customizable, downloadable reports, enabling you to get actionable information about the past 12 months. The employer dashboard is actually two...
Dec 12, 2023 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Gag Clause, Regulatory
An important reminder: Group health plans are required to attest that they are in compliance with the Consolidated Appropriations Act’s gag clause prohibition no later than December 31, 2023. The 2021 federal law requires that all group health plan sponsors file an...
Dec 11, 2023 | Announcements, MedBen Access, Mobile App, Online Services
MedBen will be closed to observe Christmas Day on Monday, December 25, and reopen at 8:00 a.m. EST on Tuesday, December 26. For the New Year’s holiday we will be closed on Monday, January 1, and reopen at 8:00 a.m. EST on Tuesday, January 2. Remember that if you need...
