Sep 8, 2025 | Claims, High-cost claims, Stop-Loss
Stop-loss coverage is no longer just a safeguard – it’s essential for protecting your plan against escalating financial risk. Between 2013 and 2024, the frequency of claims exceeding $2 million grew by more than 1,250%, underscoring why having strong protection in...
Jun 17, 2025 | Claims, Client Report, Cost management, High-cost claims
Multi-million-dollar stop-loss claims have surged over the past decade, as highlighted in the Tokio Marine 2025 Annual Market Report. To help self-funded employers tackle high-dollar claims, MedBen offers a range of proven cost-management solutions. From 2019 to 2024,...
Jan 28, 2025 | Administrative Services Only, Claims, Cost Savings, Discounts, Forensic claims review, Preferred provider organization (PPO), Savings
Many Administrative Services Only (ASO) carriers boast rapid claim turnarounds through auto-adjudication… an emphasis on speed that can result in overpayment. But MedBen forensic claims review prioritizes accountability to ensure that you pay the right price for...
Jul 18, 2024 | Claims, Claims negotiation, Compliance, Subrogation
If one of your plan members is injured as the result of an accident, it’s possible that subrogation may be necessary. Subrogation is a recovery process in which medical claim costs resulting from the injury, initially covered by the employer, are reimbursed from...
Jul 9, 2024 | Cancer, Claims, Client Report, Heart, Heart disease, High-cost claims, MedBen WellLiving, Preventive Care, Stop-Loss, Wellness, Wellness exam, Wellness screenings
Cardiovascular disease (CVD) has risen to second place on the list of top stop-loss reimbursements, according to Sun Life’s annual report of high-cost claims – the first time the condition has ranked so high. As in past years, the report underlines the...
Apr 2, 2024 | Case Studies, Claims, Claims Management, Claims negotiation, Cost Savings, Forensic claims review, Savings
Claim savings don’t have to end with the PPO network discount. With MedBen’s forensic claims review services, savings are produced after network discounts are applied, but before claims are paid. As the case study below shows, while PPO network discounts alone...
