Apr 26, 2024 | Caroline Fraker, Compliance, MedBen University, Mental Health, Mental health parity, Regulatory, Roundtables
At the Municipality & Public Employer Roundtable on April 24, MedBen Senior Vice President Caroline Fraker discussed mental health parity and how proposed rules are expected to affect self-funded employers in 2025. “Mental health and substance use disorder...
Apr 25, 2024 | Chronic conditions, MedBen Access, MedBen WellLiving, Mobile App, Online Services, Preventive Care, Wellness, Wellness compliance, Wellness exam, Wellness screenings
Through early detection and prevention of chronic conditions, MedBen WellLiving clients spend, on average, 6.3% less than non-WellLiving clients. But a proactive strategy is most effective when members are encouraged to schedule recommended wellness exams and...
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...