New Ohio Law Benefits Fully-Insured Employers
Good news for fully-insured employers: Under a new Ohio law, insurers are required to provide monthly claims data once a year to groups with 50 or more covered employees (effective July 1, 2021). For fully-insured employers, this new rule provides a better opportunity...
The Outbreak Period: Is the End Near?
On April 29, 2020, in response to the COVID-19 pandemic, the Department of Labor and the Treasury (the Departments) issued the “Final Rule,” which extended deadlines to elect COBRA, pay COBRA premiums, elect HIPAA special enrollments, and file benefit claims, appeals,...
Plan Sponsors Required to Offer COBRA Subsidies
The American Rescue Plan Act of 2021 (the ARPA) includes COBRA subsidy provisions aimed at making health plan coverage accessible and affordable. The ARPA creates a 6-month subsidy period (April 1, 2021 to September 30, 2021) during which certain “assistance eligible...
Alternative Reimbursement Strategies Continue to Beat Traditional PPO Plans
In 2020, MedBen alternative reimbursement strategies outperformed traditional PPO plans by 23.5%. Strategies like reference-based pricing (RBP) and direct-to-employer (DTE) contracting offer better pricing to employers and members. There are many RBP strategies...
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Complete the Checkup with Dental and Vision Coverages
Offering dental and vision coverages is about more than healthy eyes and teeth... it helps detect potentially catastrophic conditions early, too. HealthDay News: "Researchers found that older adults with the eye disease retinopathy were at increased risk of having a...
MedBen Tops Largest Central Ohio Employee Benefits Companies List
MedBen has once again topped the list of Largest Central Ohio Employee Benefits Companies as ranked by Columbus Business First. MedBen continues to build its business in Central Ohio and throughout the Midwest by delivering innovative plan design strategies, superior...
Focus on Preventive Care Reduces COVID-19 Costs
Only a small percentage of the overall MedBen block has tested positive for COVID-19. In looking at these cases, we found that the average cost for a positive COVID-19 case for clients who have MedBen WellLiving was 17.1% less than a non-WellLiving client case. This...
Make Informed Plan Choices with MedBen Analytics
In addition to an interactive employer dashboard, MedBen Analytics offers a variety of actionable reports. This reporting features detailed information on a wide range of useful subjects. Nearly 100 reports are available, providing the data that is most important to...
New Plan Obligations for Mental Health Parity
While plan sponsors are already familiar with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA), the passage of the Consolidated Appropriations Act (CAA) in late 2020 has led to additional plan obligations. The new rules...
MedBen University Opens 20th Season
We are excited to announce the 20th Season of MedBen University (MBU). Our 2021 season starts with virtual roundtables and focus on topics including: New and emerging strategies for Rx benefits, with case studies Growing popularity of direct-to-employer contracting,...
COVID-19’s Effect on Stop-Loss Claims in 2020
To educate employers on the financial effect of COVID-19 from a stop-loss perspective, Tokio Marine HCC Stop Loss Group (TMHCC) has gathered self-funded claims data where the primary diagnosis was COVID-19 or COVID-19-related. In 2020, TMHCC paid 958 COVID-19 claims...