Oct 12, 2026 | Alternative Reimbursement Strategies, Direct-to-Employer Contracting, Fair Market Pricing, Preferred provider organization (PPO), Reference-Based Pricing, Survey
While PPO networks remain a core part of how self-funded employers provide access to care, a growing share of MedBen clients have added direct-to-employer contracting and other alternative reimbursement strategies — 42% of clients in 2025, up from just 17% in 2018....
Feb 24, 2026 | Announcements, Fair Market Pricing, MedBen News, Preferred provider organization (PPO), Reference-Based Pricing
In 2025, MedBen clients who used fair market pricing achieved an average discount of 59.3% with an appeals rate of just 0.2%. Fair market pricing combines the strengths of traditional PPO networks and reference-based pricing by reviewing every claim to determine the...
Dec 2, 2025 | Alternative Reimbursement Strategies, Cost management, Cost Savings, Direct-to-Employer Contracting, Drug costs, Fair Market Pricing, Forensic claims review, Health care costs, High-cost claims, MedBen Analytics, MedBen Rx, MedBen WellLiving, Rx Costs, Self-funding, Survey
As 2026 approaches, employers and employees alike are seeking greater stability in how they pay for health care. While national costs continue to rise, self-funding give employers a level of control over spending and plan design that traditional coverages often lack....
Nov 18, 2025 | Alternative Reimbursement Strategies, Client Report, Direct-to-Employer Contracting, Fair Market Pricing, Preferred provider organization (PPO), Reference-Based Pricing
With medical costs expected to rise over 9% in 2026, employers say they’re prioritizing ways to manage medical expenses and exploring alternatives to traditional plan designs. MedBen has long offered alternative reimbursement strategies that give clients more...
Jul 28, 2025 | Alternative Reimbursement Strategies, Benchmarks, Client Report, Fair Market Pricing, Fair market reimbursement, Preferred provider organization (PPO)
When it comes to controlling plan costs, guessing isn’t a strategy – data is. MedBen offers a variety of alternative reimbursement options for groups that want to go beyond standard PPOs… among them, fair market pricing, which reviews every claim against...
Jun 3, 2025 | Alternative Reimbursement Strategies, Announcements, Client Report, Fair Market Pricing, Forensic claims review, MedBen Rx, MedBen WellLiving, Nutrigenomics, Pharmacogenomics
The 2025 MedBen Client Report is now available for download from MedBen.com! “As your TPA, MedBen takes an interest in your plan’s success that goes beyond claim processing,” Chairman & CEO Kurt Harden says in his Opening Note. “Our services and...
