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Category: "Cost savings"

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06/17/18

  08:13:00 pm, by MedBen5   , 229 words,  
Categories: News, Cost savings, Pharmacy benefit manager (PBM)

Government Talks about Rx Costs, But MedBen Already Has Solutions

During recent testimony to a Senate committee, Health and Human Services Secretary Alex Azar floated the idea of eliminating the rebates that drug companies and pharmacy benefit managers (PBMs) use in price negotiations. As noted on Bloomberg.com, "PBMs… more »
  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 »

05/08/18

  06:20:00 pm, by MedBen5   , 179 words,  
Categories: Prescription, Cost savings, Specialty Drugs

MedBen Rx Strategies Help Employers Face Pricing Challenges

A recent Washington Post article highlights the machinations that drug companies will use to ensure that insurers and other private-sector sources pay for their products, rather than price-controlled public services like Medicare. One common… more »

04/22/18

  10:40:00 pm, by MedBen5   , 295 words,  
Categories: Prescription, Cost savings, MedBen University, Transparency

Rx Rebate Guarantees? Beware!

At a recent MedBen University event, MedBen Vice President of Sales & Marketing Brian Fargus warned attendees against drug rebate guarantees that promise a lot but deliver little… and end up costing the employer more. “Some of the larger health… 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 »

04/08/18

  09:25:00 pm, by MedBen5   , 227 words,  
Categories: News, Prescription, Cost savings, Transparency

MedBen Rx Advocate Closes the Price Gap

Newly appointed Health and Human Services Secretary Alex Azar says he wants to see greater transparency in drug pricing. In an address to the Federation of American Hospitals last month, Azar noted that “in both healthcare services and pharmaceuticals,… more »

03/25/18

  11:37:00 pm, by MedBen5   , 371 words,  
Categories: Prescription, Cost savings

Zaenger Outlines Benefits of “Cost Plus” Difference, Offers Rx Plan Suggestions

Among the speakers at several of this year's MedBen University sessions is pharmaceutical consultant Allan Zaenger, President of Pharmaceutical Horizons. In his presentations at recent roundtable events, he outlined plan design options employers should… more »
  09:34:00 pm, by MedBen5   , 320 words,  
Categories: News, Prescription, Reporting, Cost savings, MedBen University, Self-funding, Trend

MedBen Hospital, Municipality Roundtables Spotlight Client Cost Trends

At two recent industry-specific MedBen University (MBU) roundtables, MedBen Vice President of Sales & Marketing Brian Fargus highlighted how the company's claims management solutions are keeping plan costs in check. From 2013 through 2017, the… 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 »
  09:27:00 pm, by MedBen5   , 214 words,  
Categories: Reporting, Cost savings, Third party administration

MedBen Reporting Highlights “Care Gap” Connection

Among the distinctive features of the MedBen reporting package is a series of reports that examine a group's "care gap." The idea behind a care gap measurement is straightforward: Individuals who get recommended exams and follow their doctor’s advice… 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 »

01/01/18

  10:05:00 pm, by MedBen5   , 377 words,  
Categories: Prescription, Cost savings

The “Cost Plus” Approach to Rx Benefits

A recent New York Times story identifies a fundamental problem in the pricing of medicines in our health care system today: It is difficult to determine what “cost” is for a medicine. What a given pharmacy actually pays to stock a medicine in the… more »

12/03/17

  11:18:00 pm, by MedBen5   , 232 words,  
Categories: Cost savings, Third party administration, Self-funding

Flexibility Adds to Self-funding Appeal

With all the uncertainly in the fully-insured market nowadays, it's little wonder that the popularity of self-funding continues to grow. Today, nearly 70% of U.S. employees are covered under employer-funded plans, as more businesses are seeing for… 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 »

10/22/17

  08:23:00 pm, by MedBen5   , 213 words,  
Categories: Wellness, Reporting, Cost savings

Claims-Based Wellness Approach Pays Healthy Dividends

“Just the facts.” It worked for Sgt. Joe Friday, and it works for wellness, too. Unlike traditional wellness programs that require employees to complete imprecise and unreliable health risk assessments, MedBen WellLiving takes a claims-based approach.… more »

10/20/17

  03:34:00 pm, by MedBen5   , 185 words,  
Categories: Prescription, Reporting, Cancer, Cost savings

Specialty Drug Projection: $25 Billion Annually

According to a recent Mercer survey (as reported by Reuters), over the next five years, between 40 to 50 new specialty drugs will be launched on the market each year. These could increase costs by $25 billion annually. (No, that’s not a typo… $25… more »

09/06/17

  09:52:00 pm, by MedBen5   , 196 words,  
Categories: Prescription, Cost savings, Third party administration

MedBen Claim Surveillance Case Study: $100k In Savings on One Person

MedBen cost containment technology, coupled with professional analysis, is saving a MedBen client almost $100,000 annually. Recently, MedBen's claim surveillance system flagged a claim from a hospital billing for an injectable specialty drug to treat a… more »
  09:51:00 pm, by MedBen5   , 200 words,  
Categories: Wellness, Cost savings

Worksite Wellness Efforts Lead to More Productive Employees

Worksite wellness programs like MedBen WellLiving benefit an employer's bottom line... and not only by reducing claims for costly chronic conditions. A healthier workplace also results in more productive employees. According to The Wall Street Journal,… more »

08/27/17

MedBen Client Report Highlights Population Health Management Services

The health care landscape may continue to shift, but MedBen remains focused on providing clients with cost-effective, employer-directed administrative services. In our 2017 MedBen Client Report, we look at the various way we're working with employers to… more »

08/09/17

  03:09:00 pm, by MedBen5   , 211 words,  
Categories: Announcements, News, Cost savings, Third party administration

MedBen Surveillance System -- Ten Years of Money Saved

In September of 2007, MedBen introduced to its self-funded clients an advanced surveillance system that took claims management to a higher level. And nearly 10 years later, our clients continue to realize significant savings from this system, which… more »

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