Benefit Preservation Helps Lower Specialty Drug Spend
High-cost specialty drugs can make up more than 60% of a health plan's pharmacy costs. MedBen Rx's benefit preservation program is designed to make certain that members have continued access to medications while reducing specialty drug spend to the greatest extent...
Member Reminder: FSA Grace Period Ends Soon
If your health plan offers a grace period for using 2024 flexible spending account (FSA) funds, remind your members that any remaining funds must be used by March 15, 2025. After that date, any unused money will be lost... but claims submitted before March 15 will...
Don’t Skip Your Flu Shot this Season
Even though the 2024-25 flu season has been underway for several months, DON'T skip your flu shot! Physicians recommend that almost everyone over the age of six months old get vaccinated – and it's particularly critical for high-risk individuals such as young...
MedBen Benefits Advisory Conference Explores the State of the Industry
Over 70 guests from seven states attended the MedBen 2025 Benefits Advisory Conference on January 30. Featuring some of the most respected names in the industry, this invitation-only event provided brokers with an extensive look at the state of benefits...
Manage Drug Spend and Improve Outcomes with Pharmacogenomics
Now available through MedBen Rx, pharmacogenomic testing is transforming health care through safer and more effective personalized medicine. Determining how genes affect a person’s response to drugs not only improves patient outcomes, but it also helps control...
Survey Finds Rising Health Costs Have Employers Rethinking Salary Increases
In a recent "Pulse of the Purchaser" employer survey, nearly three-quarters (74%) of respondents indicated that rising health care costs might force them to reconsider wage or salary increases. The same percentage also believe that rising costs will compel them to...
Forensic Claims Review Puts Accountability over Auto-Adjudication
Many Administrative Services Only (ASO) carriers boast rapid claim turnarounds through auto-adjudication... an emphasis on speed that can result in overpayment. But MedBen forensic claims review prioritizes accountability to ensure that you pay the right price for the...
Major PBMs Pocketed Nearly $9 Billion through Specialty Drug Pricing Practices, FTC Finds
Through specialty generic drug markups, three major pharmacy benefit managers (PBMs) earned a collective $7.3 billion above estimated acquisition costs over a five-year period, according to an interim report released by the Federal Trade Commission (FTC)....
The Essential Role of Primary Care in Cancer Detection and Prevention
Cancer mortality in the United States continues to decline, according to the new Cancer Statistics, 2025 report. From 1991 to 2022, almost 4.5 million deaths have been averted due to reductions in smoking, improvements in treatment, and earlier detection through...
MedBen Access Claim Submission Simplifies FSA/HRA
If your plan offers a flexible spending account (FSA) or health reimbursement arrangement (HRA), chances are members are already using their 2025 funds to pay for medical expenses. To simplify the process of substantiating these purchases, MedBen offers FSA/HRA claims...
MedBen 2024 Client Satisfaction Survey Results
Here are results from MedBen Client Satisfaction Surveys received in 2024 (rating averages based on a 1-to-5 scale): OVERALL SATISFACTION4.8 Claims Payment Accuracy4.8Claims Payment Turnaround4.8Client Services4.6Customer Service Courtesy & Professionalism4.7...
Prepping Your 1094/1095 Forms? There’s Good News!
As we enter 2025, all group health plan sponsors are facing the daunting task of preparing and filing 1094 and 1095 forms. But there's good news: Starting this year, employers are no longer required to automatically mail copies of individual 1095 forms to their...