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Category: "Claims management"

07/28/19

2019 Client Report: Building Better Benefits Management

“2019 marks the 30-year anniversary of Medical Benefits Administrators (MBA). The third party administrator began as a subsidiary… but has grown into our signature enterprise” states Kurt Harden, President and CEO of MedBen, in the 2019 Client Report.… more »

06/29/19

  12:38:00 pm, by MedBen5   , 189 words,  
Categories: Client Services, Quality, ISO, MedBen Employees, Claims management, Client Feedback

Client Satisfaction Matters to MedBen, So We Value Your Feedback

MedBen takes to heart the mission of being “the benefits partner that employers prefer.” That’s why we regularly send Client Satisfaction Surveys to our clients, asking for honest feedback about their experience with services provided. These surveys are… more »

05/19/19

MedBen Shatters Industry Norms

MedBen medical and pharmacy claim costs rose only 0.4% per employee for clients in 2018, shattering national data norms that reported an average of 6% cost increases. Our pharmacy claim costs alone dropped 2.7% last year, due to the introduction our new… more »

02/22/19

  11:58:00 am, by MedBen5   , 197 words,  
Categories: Announcements, Cost savings, Third party administration, Claims management

Talent and Technology Combine to Reduce Claim Costs

MedBen takes pride in its expert claim examiners – indeed, in our most recent audit our team received a payment accuracy rating of 99.9%. But when we receive a claim that merits further inspection, our advanced surveillance system lends a hand.… more »

01/25/19

  01:30:00 pm, by MedBen5   , 181 words,  
Categories: Cost savings, Claims management, Reference-based pricing

"The Case of the Overpriced Robot"

From plan design consulting to an advanced surveillance system, MedBen claims management uses multiple measures to ensure that your plan pays the proper price for health care services… but at the core is our team of experienced claim examiners. To cite… more »

01/11/19

Spousal Coverage Limitations a Smart Strategy

The latest Employee Benefits Survey by the International Foundation of Employee Benefit Plans (IFEBP) revealed that just one in five employers (20.1%) use spousal surcharges or carve-outs for health care coverage when other employer-provided health… more »

08/12/18

  04:24:00 pm, by MedBen5   , 230 words,  
Categories: Prescription, Wellness, Preventive care, Claims management, MedBen Rx, MedBen Rx Advocate, MedBen Rx Alliance

Million-Dollar Claims Continue to Rise, But MedBen Has Solutions

The Affordable Care Act's elimination of lifetime benefit maximums has led to a surge in million-dollar medical claims, with the number nearly doubling in the past four years. It’s one more reason why MedBen is dedicated to developing savings strategies… more »

06/17/18

  07:54:00 pm, by MedBen5   , 221 words,  
Categories: Cost savings, Third party administration, Claims management, Plan language

Carving Out a Costly Provider

Plan language carve-outs don’t have to be limited to medical procedures or drug classes. If a provider charges above reasonable and customary prices, then an employer can amend their plan to direct that the provider’s claims should be processed using… more »

04/20/18

  10:59:00 pm, by MedBen5   , 231 words,  
Categories: Cost savings, MedBen University, Claims management

“The Case of the Painful Pinkie”

Clinical reviews are an essential component of MedBen claim management, as our team of medical specialists ensures that your plan’s claims are paid accurately and in line with prevailing regional costs. At our recent MedBen University roundtables,… more »

02/23/18

  06:01:00 pm, by MedBen5   , 257 words,  
Categories: Announcements, News, Prescription, Health Plan Management, Claims management

MedBen Leads Columbus Business First Survey

A new Columbus Business First survey (in the February 16 issue) ranks MedBen as Central Ohio's top employee benefits company, based on the number of Central Ohio benefits workers we employ. With 143 TPA employees residing in Licking, Franklin and… more »

02/11/18

For MedBen, Beating Trend Is All in the Details

In recent years, U.S. health care spending has slowed significantly compared to the double-digit cost spikes we saw a decade ago. But there’s still room for improvement, so MedBen uses multiple containment strategies to keep client claim costs under… more »

01/14/18

  05:12:00 pm, by MedBen5   , 187 words,  
Categories: Announcements, Cost savings, Third party administration, Claims management

MedBen Claims Surveillance Continues to Save Clients Money

MedBen's claims surveillance system, which screens and selects claims for specialist review, saved clients, on average, an additional 38% per selected claim in 2017... savings produced after network discounts are applied, but before claims are paid.… more »

11/19/17

While MedBen Closes for Thanksgiving, Online Services Always Open

As the usual end-of-year festivities ramp up, the staff of MedBen would like to take this opportunity to wish you and yours a fun and stress-free holiday season. While MedBen pauses to observe Thanksgiving Day, our offices will be closed on Thursday,… more »

11/05/17

  01:55:00 am, by MedBen5   , 220 words,  
Categories: Health Plan Management, Cost savings, Research, Third party administration, Trend, Claims management

MedBen Beats Trend by Focusing on Claim Costs

Medical plan trend has kept stable over the last few years. Even so, MedBen has consistently remained under national trend by emphasizing the highest driver of plan costs – claims. According to the 2018 Segal Health Plan Cost Trend Survey, medical… more »