Nov 11, 2021 | Announcements, Cost Savings, Out of network, Savings
MedBen is pleased to partner with The Phia Group to offer Unwrapped, an innovative way to save your plan money on out-of-network claims – up to 76% off of billed charges. Unwrapped allows out-of-network claims to be paid at a percentage of Medicare, replacing costly...
Oct 18, 2021 | Air medical transports, Cost Savings, Prior Authorization Services, Savings, Utilization review
To ensure that patients do not incur unexpected transportation costs, MedBen offers prior authorization services for hospital-to-hospital air medical transports. Â About 85% of all air medical transports are either not medically necessary or the charges are not...
Oct 6, 2021 | Case Studies, Claims, Claims Management, Cost Savings, Forensic claims analysis, Savings
A MedBen Client received two large dollar claims for Mast Cell Activation Disease, both of which were flagged. In addition to occurrences of unbundling, following physician review it was determined that the length of hospital stay exceeded standards for medical...
Aug 10, 2021 | Cost Savings, MedBen WellLiving, Savings, Trend
Last year, MedBen’s WellLiving block had 8.8% less claim costs compared to those who didn’t utilize WellLiving. But that number doesn’t tell the whole story. Over the past five years, the cost gap between WellLiving and non-WellLiving members has continued to...
Jul 12, 2021 | Cost Savings, MedBen Rx, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Savings, Transparency
Lack of disclosure is a common theme for many pharmacy benefit managers (PBMs), be it with employers or state governments. From Benefits Pro: “At least a half-dozen states and the District of Columbia are investigating pharmacy benefit managers, The Wall Street...
Jun 1, 2021 | Cost Savings, MedBen Rx, Pharmacy Benefits Manager (PBM), Prescription, Rx Costs, Savings
MedBen Rx clients save 21.6% when switching from traditional PBMs. What accounts for such a substantial difference? With MedBen Rx you pay what the pharmacy pays – we use the drug’s acquisition cost as a baseline to reduce your costs. MedBen Rx offers total...
