Dec 29, 2025 | MedBen Rx, Pharmacy, Pharmacy Benefits Manager (PBM), Rebates, Rx Costs, Transparency
While the major PBMs still dominate the market, their grip is loosening. A recent Pulse of the Purchaser survey found that the percentage of employers contracted with one of the Big 3 dropped from 72% in 2024 to 61% by late 2025, as more organizations shifted toward...
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....
Dec 1, 2025 | Case Studies, Cost Savings, MedBen Rx, Patient assistance, Patient coupons, Pharmacy, Pharmacy Benefits Manager (PBM), Rx Costs, Savings
A new MedBen Rx client realized $1.19 million in combined plan and member savings in their first year – a 45.7% reduction, surpassing the $1.05 million projected savings. Per-member-per-month (PMPM) pharmacy costs tell the story: $233 under the previous PBM vs. just...
Nov 4, 2025 | Chronic conditions, MedBen Rx, Mental Health, Prescription, Rx Costs
A recent GoodRx list of the 20 most prescribed medications prompted MedBen Rx to take a closer look at how our own top prescriptions compare. Because GoodRx’s rankings largely reflect individuals who pay for medications out of pocket – rather than through...
Oct 21, 2025 | biologics, Biosimilars, Cost Savings, Humira, Rx Costs, Savings, Stelara
To help clients more efficiently access the cost savings of biosimilars, MedBen Rx is introducing an advance notice model. Rather than requiring approval each time a new biosimilar becomes available, this proactive approach automatically adds new biosimilars to your...
Sep 23, 2025 | Brian Fargus, Brooke Hupp, Cancer, Conferences, Cost Savings, Drug costs, Health care costs, Innovations, Pharmacy, Prescription, Rx Costs, Savings
The 12th Annual Sherrill-Morgan Healthcare Conference, held September 18-19, convened employers from Ohio, Kentucky, and Tennessee to explore innovative approaches to managing escalating healthcare costs. MedBen was proud to participate, with its sales team delivering...
