Jul 1, 2025 | Cost Savings, Drug costs, GLP-1s, MedBen Rx, Ozempic, Rebates, Rx Costs, Specialty Drugs, Wegovy, Weight loss drugs
The 2025 Milliman Medical Index confirms what many employers are seeing firsthand: prescription drug costs are rising faster than any other health care expense, with a 9.7% increase over the past year. To help employers reclaim their drug spend, MedBen Rx offers a...
Jun 27, 2025 | Cost management, Cost Savings, Discounts, Forensic claims review, Health care costs, Savings
The 2025 MedBen Client Report highlights how our proven self-funding solutions have consistently helped employers control health care costs. One of the most impactful tools – forensic claims review – was introduced in 2007 and continues to deliver measurable value,...
Apr 21, 2025 | Biosimilars, Cost Savings, Drug costs, Rx Costs, Savings, Stelara
Earlier this month, MedBen Rx clients and their brokers were emailed about an opportunity to receive preferred pricing for the biosimilar for the anti-inflammatory medication Stelara. Depending on the dosage, this biosimilar can reduce the cost of the medication by...
Mar 25, 2025 | Alternative Reimbursement Strategies, Cost Savings, Discounts, Fair market reimbursement, Health care costs
MedBen clients who used Fair Market Reimbursement in 2024 yielded a discount average of 56% with an appeals rate of just 0.23%. MedBen’s Fair Market Reimbursement combines the best aspects of PPOs and reference-based pricing by evaluating all types of claims to...
Mar 21, 2025 | Cost Savings, Emergency Room (ER), Family doctors, Health care costs, Primary Care, Urgent Care
For MedBen clients in 2024, 15% of emergency room visits were potentially avoidable… typically for conditions that could have been better managed in a more cost-effective setting. A visit to an urgent care facility or family doctor can save a plan member, on average,...
Feb 24, 2025 | Benefits preservation, Cost Savings, Drug costs, MedBen Rx, Rx Costs, Savings, Specialty Drugs
High-cost specialty drugs can make up more than 60% of a health plan’s pharmacy costs. MedBen Rx’s benefit preservation program is designed to make certain that members have continued access to medications while reducing specialty drug spend to the...
