Most Americans at Risk for Heart Disease, but Proactive Wellness Helps
According to Medical Xpress, "Nine of 10 American adults are in the early, middle or late stages of a syndrome that leads to heart disease, a new report finds." However, proactive wellness can greatly reduce the risk of developing the disease. Based on the rates of...
Get the Actionable Reports You Want, When You Want Them
The MedBen Analytics employer dashboard offers over 100 reports providing member cost, quality, and predictive insights... and with our auto-generate feature, it's easy to get the actionable reports you want when you want them, either individually or bundled. As...
Municipality & Public Employer Roundtable Spotlights Proven Solutions and New Innovations
At the 18th Annual MedBen University Municipality & Public Employer Roundtable on April 24, clients were shown how MedBen's self-funding solutions are lowering medical and pharmacy spend while promoting healthier workplaces. Attendees were also introduced to...
“Lesser-Known” Saving Solutions Are Readily Available through MedBen
It's hardly shocking that in a new national benefits employer survey, 29 percent of respondents cited "reducing costs" as the most important consideration for employee benefit decisions. However, the steps some employers are using to lower their health plan spend may...
New Mental Health Parity Rules Expected in 2025
At the Municipality & Public Employer Roundtable on April 24, MedBen Senior Vice President Caroline Fraker discussed mental health parity and how proposed rules are expected to affect self-funded employers in 2025. "Mental health and substance use disorder...
WellLiving Clients: Are Your Members Checking Their Wellness Compliance?
Through early detection and prevention of chronic conditions, MedBen WellLiving clients spend, on average, 6.3% less than non-WellLiving clients. But a proactive strategy is most effective when members are encouraged to schedule recommended wellness exams and...
Humira Biosimilar Program Sees Over $3 Million in Annualized Client Savings
Last year, MedBen Rx announced a new program that would enable clients to purchase Idacio, a biosimilar version of the anti-inflammatory therapy Humira – a drug that typically costs between $6,000 and $12,000 per month depending on the dose – for under $1,000 per...
Fair Market Reimbursement Provides Maximum Savings with Minimal Noise
At the Private Employer Roundtable on April 11, Regional Sales Director Brooke Hupp highlighted alternative reimbursement strategies that reduce health care costs, including MedBen's newest strategy, Fair Market Reimbursement (FMR). This innovative approach maximizes...
CMS Announces 2025 Medicare Part D Final Rules Affecting Health Plan Credibility
On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the “Rate Announcement”). The Rate Announcement...
Primary Care and “Essential 8” Keys to Preventing Health Disease
Regular primary care visits are crucial to preventing chronic heart conditions, a new study of personal health habits suggests. Jeremy Sussman of the University of Michigan Department of Internal Medicine said, "As a society, we need to recognize that preventing...
Going “Beyond the Discount” Saves Client 56% on Claims Cost
Claim savings don’t have to end with the PPO network discount. With MedBen's forensic claims review services, savings are produced after network discounts are applied, but before claims are paid. As the case study below shows, while PPO network discounts alone will...
Looking for Total Transparency and Lower Costs in Pharmacy Benefits?
Employers are turning away from the "big three" pharmacy benefits managers to other PBMs that offer greater transparency and lower costs, says Wharton professor of health care management Lawton Robert Burns. As one of those alternatives, MedBen Rx is bringing...