Mar 21, 2022 | Cost Savings, Emergency Room (ER), MedBen Analytics, Reporting, Savings, Urgent Care
For MedBen clients in 2021, 11% of emergency room visits were potentially avoidable… typically for conditions that could have been better managed in a more cost-effective setting. A visit to an urgent care facility or family doctor cost, on average, $1,363 less...
Feb 21, 2022 | Air medical transports, Cost Savings, Savings
In the short time MedBen has offered air ambulance review services, we’ve saved our clients a net total of $1,049,496. Since introducing these services, our team of experts has reviewed 27 claims for non-network air medical transports, at an average submitted...
Feb 8, 2022 | Claims negotiation, Cost Savings, Discounts, Forensic claims analysis, Out of network, Savings
A MedBen Client received a $160,109 claim for an out-of-network back surgery. After the claim was repriced, the unusually high cost for this procedure was flagged by our claims surveillance. Due to this, a MedBen-contracted orthopedic specialist reviewed the claim and...
Jan 24, 2022 | Cost Savings, MedBen Rx, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Savings, Transparency
Pharmacy benefit managers (PBMs) are profiting at the expense of consumers and payers, finds a new report from the PBM Accountability Group. MedBen Rx counters such tactics with pharmacy solutions that ensure you know exactly what a drug costs. From Benefits Pro:...
Jan 10, 2022 | Adverse selection, Cost Savings, Savings, Spousal limitations
Because you don’t want to be on the negative end of adverse selection. About 1 in 5 employers currently use spousal limitations, ranging from surcharges and carve-outs to exclusion of all spouses from the plan. Spousal limitations can reduce the chances of...
Jan 7, 2022 | Brand Name Drugs, Cost Savings, Generic Drugs, MedBen Rx, Prescription, Rx Costs, Savings, Specialty Care
GoodRx is currently compiling a list of drugs that will cost consumers more in 2022. By January 17, 669 drugs will have experienced price increases, with an average increase of 5.0%. All but 11 on the list are brand-name medications. The list includes such well-known...
