Children Under 10 Drive a Growing Share of High-Cost Claims
Tokio Marine HCC’s 2026 Annual Market Report shows children under age 10 now account for 39% of stop-loss claims exceeding $1 million — more than triple the share of any other 10-year age group. This concentrated risk creates new considerations for self-funded plans,...
Why Does TPA Stability Matter?
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...
Drug Spending Growth Calls for Broader Pharmacy Strategies
U.S. pharmaceutical expenditures rose 12.7% in 2025 to $915.2 billion, according to a recent analysis in the American Journal of Health-System Pharmacy. Utilization drove most of the growth, led by high-cost therapies such as tirzepatide, semaglutide, and apixaban....
Let MedBen Analytics Help You Finish the Year Strong
Mid-2026 is the ideal time to review your first-half results and chart the course ahead. Rather than waiting for year-end surprises, MedBen Analytics delivers the foresight to make proactive, data-driven decisions now. Our employer dashboard converts raw claims data...
Traditional PBMs vs. MedBen Rx: A Side-by-Side Comparison
MedBen Rx is the fastest growing division of MedBen — and for good reason. Here's how we stack up against traditional PBMs: CORE STRENGTHS OF MEDBEN RX OVER TRADITIONAL MODELS True Transparency & Pass-Through Traditional PBMs frequently use "spread pricing"...
MedBen Office Closed July 3rd in Celebration of Independence Day
Our home office and client services will be closed on Friday, July 3rd, in celebration of Independence Day. We will reopen at 8:00 a.m. EST on Monday, July 6th. Plan members can check claims information, including status and EOB details, online at MedBen Access...
Your Data Belongs to You!
A recent U.S. House Energy and Commerce Health Subcommittee hearing spotlighted a persistent issue for many self-funded employers: difficulty obtaining complete access to their own medical claims data from third-party administrators and insurers. These practices make...
Mid-Year FSA Check: Time for Members to Review Balances
As we’ve reached the midpoint of 2026, it’s an ideal time to remind your plan members to check their flexible spending account (FSA) balances. FSAs deliver meaningful tax savings on eligible health care expenses, but only when members actively manage their accounts....
Know Your Family History — And Make Sure Your Doctor Does Too
Knowing your family’s health history — and making sure your primary care physician knows it too — can make a real difference in catching serious conditions early. KFF Health News recently shared the story of a 33-year-old woman who discovered only after being...
MedBen Achieves ISO 9001 Recertification
MedBen has achieved ISO 9001 recertification following a comprehensive audit by Intertek conducted May 26–29, 2026. Auditors issued a “No Action Required” result, confirming that MedBen’s Quality Management System is fully effective with no findings or opportunities...
2026 Employer Health Care Costs Projected to Rise Nearly 8%
Milliman’s 2026 Medical Index projects a 7.9% increase in per-person health care costs for employer-sponsored plans — the highest annual rise in more than a decade, outside of pandemic years. From 2021 to 2025, Milliman’s national medical & pharmacy trend averaged...
MedBen Completes 2025 Consolidated Appropriations Act Pharmacy Data Submission
As you may recall, the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually with the Centers for Medicare & Medicaid Services (CMS). For the 2025 reporting cycle, the Prescription Drug Data Collection...