Most recent posts

  XML Feeds

Search

Category: "Reference-based pricing"

01/26/19

Thinking Outside the Coverage Box

"Think outside the box" may be an overused expression, but when it comes to health care coverage, more and more employers are taking the advice.... and MedBen has a few thoughts on the subject. Many self-funded employers still rely on PPO plans that… 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 »

12/30/18

A Note from Our Executive Chairman and President

To our customers, consultants, and brokers: Happy new year from MedBen! In 2018 we celebrated our 80th anniversary, which gave us a chance to reflect on our beginnings and growth as a health benefits manager. It's great to reminisce but we prefer to… more »

12/02/18

  09:23:00 pm, by MedBen5   , 213 words,  
Categories: News, Hospitals, Cost savings, Reference-based pricing, Medicare, Alternative plan design

New Medicare Pricing Tool Useful to RBP Plans

To improve medical cost transparency, the Centers for Medicare & Medicaid Services (CMS) has announced a new Medical pricing tool for surgical procedures that will also benefit certain reference-based pricing (RBP) plans. The Procedure Price Lookup… more »

09/23/18

  04:15:00 pm, by MedBen5   , 209 words,  
Categories: Cost savings, MedBen Analytics, Bundled Payments, Reference-based pricing

Bundled Payments: The Future of Health Care Reimbursements?

Health care payers are continually looking for ways to reduce medical spending. One such concept that has gained traction in recent years is the bundled payment system, in which a provider is paid for a complete episode of care, rather than paid… more »

08/24/18

  07:16:00 pm, by MedBen5   , 174 words,  
Categories: Reference-based pricing, Contracts, Partners Community Health Plan

Direct-to-Employer Contracting Nothing New for MedBen

A recent Bloomberg.com article opined upon the growing trend of employers contracting directly with health care providers. Such relationships, author Max Nisen notes, save employers money by giving them "a greater degree of control and flexibility in… more »
  05:42:00 pm, by MedBen5   , 162 words,  
Categories: Cost savings, Reference-based pricing, Dialysis

Costly Dialysis Legislation Should Spark Plan Language Change

If you've been on the fence about using reference-based pricing (RPB) for your plan members' dialysis services, now is the time to make the move. The American Journal of Managed Care reports that a recently passed bill includes “pay for” legislation… more »