May 16, 2023 | Alternative Reimbursement Strategies, Announcements, Case Studies, Client Report, Client Services, Client Surveys, Communication, Compliance, Cost Plus Pricing, Cost Savings, Direct-to-Employer Contracting, Drug costs, Forensic claims review, HealthJoy, Inflation, Kurt Harden, MedBen Rx, MedBen WellLiving, Member engagement, Mobile App, Online Services, Own Use, Pharmacy, Pharmacy Benefits Manager (PBM), Plan Design, Plan Language, Prescription, Reference-Based Pricing, Regulatory, Rx Costs, Savings, Self-funding, Specialty Drugs, Supreme Court, Wellness
The 2023 MedBen Client Report is now available to download from MedBen.com! In his opening note, MedBen President Kurt Harden states: “This Client Report is designed to demonstrate ways that clients can generate greater value from their health plan. With health...
May 15, 2023 | Affordable Care Act, Announcements, Compliance, PCORI, Regulatory
It is once again time to start thinking about warmer weather, cook-outs, and – yes – paying your PCORI fee. As in years past, all self-funded employer health plan sponsors are required to file and pay their PCORI fees no later than July 31, 2023. As part of...
May 12, 2023 | Alternative Reimbursement Strategies, Announcements, Payer Compass, Reference-Based Pricing, Zelis
In September 2022, Zelis acquired Payer Compass and its reference-based pricing products. In March and April 2023, Zelis began the re-branding of Payer Compass with changes to its social media accounts, web-based portal tools, and email addresses. Now, Zelis has begun...
May 11, 2023 | Centers for Medicare & Medicaid Services (CMS), Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy, Prescription, Regulatory
You might remember that the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Beginning this year, and each year thereafter, that reporting must be...
May 10, 2023 | Announcements, MedBen Access, MedBen Employees, Mobile App, Online Services
Our home office and client services will be closed on Monday, May 29 in observance of Memorial Day. We will reopen at 8:00 a.m. EST on Tuesday, May 30. Plan members that need claims and benefits information during the holiday weekend (or any other time) can typically...