Apr 14, 2023 | Announcements, Client Report, Direct-to-Employer Contracting, Kurt Harden, MedBen Rx, Member engagement, Supreme Court
In the upcoming 2023 MedBen Client Report, we’ll be looking at some of the issues that affected our clients last year, and the ways we worked with them to find successful solutions to preserve or improve their benefits. “With health care inflation expected...
Apr 13, 2023 | Emergency Room (ER), MedBen Analytics, Plan Design, Reporting
MedBen Analytics offers a variety of customizable, downloadable reports to help you make informed decisions about changes to your plan. While there are dozens available to choose from, the most popular reports used by MedBen clients include: Utilization Metrics....
Apr 4, 2023 | Caroline Fraker, Carve-outs, Compliance, Cost Savings, Dialysis, MedBen University, Regulatory, Savings, Supreme Court
At this year’s MedBen University roundtables, Senior Vice President & CPO Caroline Fraker provided an eye-opening example of why the June 2022 United States Supreme Court decision in the matter of Marietta Memorial Hospital Employee Health Benefit Plan v....
Apr 3, 2023 | Lawsuits, News, Ohio, Pharmacy Benefits Manager (PBM), Prescription, Regulatory, State legislation
Ohio Attorney General David Yost has sued pharmacy benefit managers (PBMs) Express Scripts and Prime Therapeutics for conspiring to illegally increase prescription drug prices and force pharmacies to accept low reimbursement rates. Cigna Group and Humana were also...
Mar 31, 2023 | Claims, Claims Management, Direct-to-Employer Contracting, Forensic claims review, MedBen University, Medical necessity, Roundtables
Contracting directly with a health system offers employers pricing control, member access to high-quality local care, and the flexibility to create multiple benefit options. At this year’s MedBen University roundtables, Regional Sales Director Brooke Hupp...
