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Forensic Claims Review Puts Accountability over Auto-Adjudication

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...

Finding the Right Reimbursement Balance by Exploring the “Alternatives”

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...

Direct-to-Employer Contracting Offers Unique Advantages

Jun 29, 2023 | Alternative Reimbursement Strategies, Cost Savings, Direct-to-Employer Contracting, Preferred provider organization (PPO), Savings

More self-funded employers are considering contracting directly with health systems and hospitals – and for good reason. Not only does direct-to-employer contracting offer better pricing than traditional PPOs, it offers advantages not found in other types of...

Alternative Reimbursement Strategies Win Big for Employers

Nov 2, 2022 | Alternative Reimbursement Strategies, Direct-to-Employer Contracting, Preferred provider organization (PPO), Reference-Based Pricing

Employers who use the pricing control and consistency of MedBen’s alternative reimbursement strategies can lower their claim costs substantially compared to traditional PPO plans. Our proven solutions include: Traditional reference-based pricing...

Want Pricing Control and Consistency?

Jun 28, 2022 | Alternative Reimbursement Strategies, Cost Savings, Direct-to-Employer Contracting, Preferred provider organization (PPO), Reference-Based Pricing, Savings

MedBen has the answer!Our proven self-funding solutions begin with traditional PPO plans, but don’t end there. We also offer alternative reimbursement strategies such as… Traditional reference-based pricing (RBP) that pays providers a fair and reasonable...

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