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...
Jul 22, 2024 | Alternative Reimbursement Strategies, Cost Savings, Direct-to-Employer Contracting, Preferred provider organization (PPO), Savings
A new survey on health and benefit strategies for 2025 finds that one-third of large employers will offer an “alternative medical plan” to steer employees to quality, cost-effective care. At MedBen, nearly half of our clients have implemented alternative...
