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Category: "Health Plan Management"

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07/10/08

  04:48:18 pm, by MedBen5   , 292 words,  
Categories: Discounts, Health Plan Management, Incentives

The “Guaranteed Discount” Myth

MedBen recently came across a “guaranteed discount” from a competitor that so defied belief, we thought we should share some of the details, as a public service. First, the competitor offered a “targeted” 43% discount guarantee – that is, the… more »

06/26/08

  05:02:49 pm, by MedBen5   , 258 words,  
Categories: News, Health Plan Management

Protecting Against Auto-adjudication Fraud

Processing claims electronically with auto-adjudication software is a common practice in the insurance industry, but without sufficient safeguards in place such systems is vulnerable to fraud – a lesson recently learned the hard way by Medicare, which… more »

06/24/08

  06:04:06 pm, by MedBen5   , 184 words,  
Categories: News, Health Plan Management

Prepaid Benefits: It's All in the Cards

An Employee Benefit News article states that more employers are learning what MedBen clients have known for some time now: Prepaid benefit cards are a smart accessory to many consumer-driven health products. Plan participants with a flexible spending… more »

02/05/08

  08:33:36 am, by MedBen1   , 28 words,  
Categories: Health Plan Management

MedBen's cost control initiative noticed by stop-loss carrier

HCC Life Insurance Company has profiled MedBen’s Advanced Warning and Containment (AWAC) initiative in their January, 2008 newsletter. The HCC Voice does a nice job of summarizing AWAC’s offerings. more »

01/23/08

  11:24:51 am, by MedBen1   , 98 words,  
Categories: News, Prescription, Health Plan Management, Incentives

Towers Perrin releases 2008 Cost Survey

Expect health care costs to rise by an average of 6%, says Towers Perrin in their 2008 Health Care Cost Survey (available here). Most of MedBen’s stop-loss carriers are using a 13%-15% trend and MedBen Mutual is using a 15.5% medical trend.… more »

10/15/07

  08:12:58 am, by MedBen1   , 235 words,  
Categories: Announcements, Prescription, Health Plan Management

Pharmacy Pricing - what is AWP, how will it change and what can you do?

Segal Co. offers a good overview of the effect of the class action lawsuit related to drug pricing. You can get the summary from Segal’s website here. As Segal notes, the calculation for Average Wholesale Pricing, or AWP, was determined to… more »

10/03/07

  09:26:50 am, by MedBen1   , 182 words,  
Categories: Wellness, Discounts, Health Plan Management, Incentives

Lower health plan costs tied to health focus, plan management over discounts

Employers with the lowest comparable health costs focus on strong clinical programs and solid plan management over proclaimed discounts, according to the 2007 SHPS Health Practices Study (you can download the study here). According to SHPS’s CEO… more »

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