Mar 24, 2026 | Alternative Reimbursement Strategies, Announcements, Client Report, Compliance, Formularies, MedBen University, Preferred provider organization (PPO), Regulatory
MedBen University (MBU) is celebrating its 25th season of practical benefits education. Our annual Employer Roundtable will take place Thursday, April 16, and is open to MedBen clients as well as their brokers. Topics scheduled for discussion include: What’s...
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...
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....
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...
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...
