Sep 18, 2023 | Announcements, ICD-10 diagnosis code, MedBen Rx, Ozempic, Prescription, Ventegra
Important information for MedBen Rx clients using the Ventegra formulary: Effective October 1, an appropriate ICD-10 diagnosis code for type 2 diabetes will be required for certain Ozempic prescriptions and all other GLP-1 class medications. Ozempic and other GLP-1...
Sep 15, 2023 | Caroline Fraker, Drug costs, Drug reimportation, Prescription, Rx Costs
MedBen Senior Vice President Caroline Fraker was a featured speaker at the 10th Annual Sherrill-Morgan Healthcare Innovation Conference on September 15th. She spoke on the topic of drug importation, including the reimportation of U.S. manufactured prescription drugs...
Sep 14, 2023 | Consumer-driven Health Plans, Debit Cards, Flexible spending accounts (FSAs), FSA Store, IRS, Substantiation
Substantiating purchases made with a health flexible spending account (FSA) is crucial for ensuring eligibility for pre-tax status…so much so, that earlier this year the IRS released a memorandum stressing its importance. To make the process as straightforward...
Sep 5, 2023 | Alternative Reimbursement Strategies, Claims, Comparative Effectiveness, Cost Savings, Direct-to-Employer Contracting, Drug costs, Fair Market Pricing, Forensic claims review, High-cost claims, Inflation, MedBen Rx, MedBen WellLiving, Reference-Based Pricing, Rx Costs, Savings, Self-funding, Specialty Care, Survey, Wellness
A new survey by International Foundation of Employee Benefit Plans found employers expect plan costs to increase seven percent in 2024. As to why, they gave a range of answers, with the top four reasons representing 71 percent of responses (see chart below). As it...
Sep 4, 2023 | Compliance, Plan changes, Regulatory
Q: Are plan sponsors required to provide members advanced notice when making midyear changes to the plans? A: Yes! Under the Affordable Care Act (ACA), there are two notification requirements that apply to changes made midyear. These notifications are in addition to...
