Nov 10, 2026 | Claims data, Forensic claims review, News, Third party administration
A group of large self-funded employers — including Aramark, Kraft Heinz, Whirlpool, W.W. Grainger, Ralph Lauren, and Sterling Jewelers — recently sued the ASO of a major carrier. They allege that, as their third-party administrator, the carrier: Approved improper,...
Oct 27, 2026 | Administrative Services Only, Contracts, Discounts, Third party administration
If one component of your health plan — such as pharmacy benefits or a wellness program — no longer meets your needs, can you replace it without disrupting the rest of the plan? The answer often depends on whether you use an insurance carrier for administrative...
Oct 9, 2026 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Gag Clause, Legislative, Regulatory, Third party administration
An important reminder that group health plans must attest compliance with the gag clause prohibitions mandated by the Consolidated Appropriations Act of 2021. Attestation is required online by December 31, 2026. The law requires plan sponsors to file an...
Jul 6, 2026 | MedBen Employees, Stability, Third party administration
Hundreds of mergers and private equity acquisitions have consolidated the TPA industry in recent years. Because of this, many clients face team turnover, system changes, lost institutional knowledge, and shifting priorities — forcing them to rebuild relationships...
Mar 9, 2026 | Compliance, Consolidated Appropriations Act of 2021 (CAA), Pharmacy Benefits Manager (PBM), Prescription, Primary Care, RxDC report, Specialty Care, Third party administration
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires group health plans to submit to the Centers for Medicare & Medicaid Services information about prescription drugs and health care spending. This data submission is called RxDC (for...
Dec 30, 2025 | Benefits preservation, Biosimilars, Client Feedback, Client Surveys, Direct-to-Employer Contracting, Forensic claims review, Innovations, Kurt Harden, MedBen Employees, Self-funding, Spending, Third party administration
On behalf of the MedBen team, I wish you a happy and healthy new year, and thank you for your continued trust in MedBen. Our commitment remains to be the benefits partner that employers prefer, and we value the opportunity to serve you. In my 35 years with MedBen,...
