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...
Dec 30, 2024 | Cost Savings, Direct-to-Employer Contracting, Formularies, Health care costs, Networks, Pharmacy Benefits Manager (PBM), Research
A recent “Pulse of the Purchaser” survey offers interesting insights about strategies employers are using to successfully lower their medical and pharmacy costs… strategies that, not surprisingly, have long been in use by many MedBen clients. Among...
Nov 26, 2024 | Alternative Reimbursement Strategies, Case Studies, Cost Savings, Direct-to-Employer Contracting, Health care costs, Savings
From Benefits Pro: “According to the 2024 Best Practices in Healthcare Survey from WTW, more than half of employers plan to implement programs that will reduce total costs, and just as many intend to adopt plan design and network strategies that steer workers to...
Nov 8, 2024 | Billing, Concierge services, Cost Savings, HealthJoy, JOY, MedBen Connect, Mobile App, MSK, Precertification, Savings, Telemedicine
Clients who offer the MedBen Connect technology experience are seeing savings in a variety of ways. On average, 65% of members activate the mobile app, and 15% utilize its services bundle every month. Powered by HealthJoy, MedBen Connect transforms health care access...
Oct 29, 2024 | Alternative Reimbursement Strategies, Chronic conditions, Client Report, Cost projections, Cost Savings, Direct-to-Employer Contracting, Drug costs, Fair market reimbursement, Forensic claims review, Health care costs, High-cost claims, MedBen Rx, MedBen WellLiving, Prescription, Rx Costs, Transparency, Trend, Wellness
Health care costs in the United States are projected to see their steepest rise in over a decade during 2025, with multiple industry analyses forecasting increases between 7% and 8% year-over-year (see table below). However, MedBen offers solutions that directly...
Oct 15, 2024 | Benefits preservation, Biosimilars, Cost Savings, Drug costs, High-cost claims, Rx Costs, Specialty Drugs
Specialty drugs continue to drive up pharmacy costs, accounting for over 50% of total drug spend for many self-funded health plans, despite being used by a small percentage of patients. But pharmaceutical and administrative solutions are available to help reduce that...
