Feb 9, 2026 | Discounts, News, Online Services, Pharmacy, TrumpRx
The February 5th launch of the TrumpRx.gov online portal has generated attention for its lower prescription drug pricing… and may offer value for self-funded pharmacy plans in cases where medications are excluded from coverage or members face high upfront costs. While...
Jan 27, 2026 | Announcements, Claims, Claims Management, Cost Savings, Discounts, Forensic claims review, MedBen News, Preferred provider organization (PPO), Savings
$22.38 per employee per monthThat’s the average savings MedBen clients realized in 2025 through forensic claims review — the largest annual per-employee impact since the service launched in 2007. Savings like these don’t happen by accident — or by auto-adjudication....
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,...
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...
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...
Feb 8, 2022 | Claims negotiation, Cost Savings, Discounts, Forensic claims analysis, Out of network, Savings
A MedBen Client received a $160,109 claim for an out-of-network back surgery. After the claim was repriced, the unusually high cost for this procedure was flagged by our claims surveillance. Due to this, a MedBen-contracted orthopedic specialist reviewed the claim and...
