The CDC states that more than 40% of adults have felt pain in their mouth in the last year. So, it’s easy to see why you should be brushing, flossing, and rinsing regularly. But these tasks could do more than just keep teeth clean – they could also help protect you from other chronic conditions.
Though the connection between oral hygiene and other certain chronic conditions is still being debated, evidence has shown a correlation between the two. Periodontics disease has been linked to conditions such as heart disease, diabetes, dementia, and rheumatoid arthritis. In addition, gum disease has been linked to poor heart health, including heart attacks.
Some researchers believe that one link can be found when oral bacteria escapes into the bloodstream, injuring major organs. It’s also thought that inflammation related to oral conditions can lead to inflammation in other parts of the body.
Whether the connections prove to be coincidence or a direct link, MedBen WellLiving has always suggested being proactive. Properly cleaning your teeth and gums, monitoring changes in your mouth such as red, inflamed gums, bleeding, or sores that will not heal, as well as visiting your dentist twice a year are highly recommended.
If you have concerns with your oral health or want more information on how to properly care for your mouth, pay a visit your dentist or family physician.
The ongoing issue of high prescription drug costs have led to media scrutiny, congressional hearings, and charges of price-gouging. MedBen prefers to remain above the fray, and instead focus on ensuring that our clients pay as little as possible for their pharmacy coverage.
"Drugmakers Point Finger at Middlemen for Rising Drug Prices," reads a recent Wall Street Journal headline. Those "middlemen" include pharmacy benefit managers (PBMs), which serve as consultants and price negotiators for employers that offer drug plans.
While it strains credibility to lay too much blame at the feet of a "middleman," it is true that many PBMs do retain a portion of the rebates and discounts they receive on behalf of their clients. Drugmakers argue that their cost increases reflect, in part, the money that PBMs hold back.
At MedBen, we follow a simple rule: "The client's money belongs to the client." Not most of it... all of it. That is why we enlisted the services of a PBM that shares our attitude.
MedBen clients can be assured that 100% of paid pharmacy rebates go directly into their health plan. We offer a transparent, full pass-through Rx model that results in better client savings. The same applies to pharmacy discount rates, including generic discounts that are among the best in the industry.
Regardless of all the finger-pointing happening over drug prices, there are genuine opportunities for employers to save money on their pharmacy plan costs, and MedBen specializes in providing timely client solutions. Learn more about how we do it by contacting Vice President of Sales & Marketing Brian Fargus at email@example.com.
Just like in sports, the best offense is a good defense ‒ and the same goes for your health. Promoting healthier lifestyles and practicing preventive care leads to better outcomes.
According to WebMD, a recent Danish study determined that individuals who suffer a heart attack before the age of 50 are nearly at twice the risk of an early death compared to the general population. This higher risk is driven mainly by conditions such as high blood pressure, diabetes and obesity, which are more common among people who've had a heart attack. All of these conditions leading to the heart attack, if detected and managed early, could help to eliminate the risk of a chronic condition imploding.
Following such healthy habits as regular exercise, good diet and not smoking, can reduce heart attack risk by as much as 92%. And having access to a proven worksite wellness program like MedBen WellLiving provides individuals with an additional layer of support.
By offering WellLiving, your employees have a solid foundation on which to build better lifestyles. Our "physician first" approach promotes plan members getting regular wellness exams from their family doctors, which offers a forum to discuss ways to improve and maintain healthy habits. Plus, plan members who have a higher risk of developing a chronic condition can receive individualized nurse coaching through our specialty care program.
Living a healthy lifestyle may not always be easy, but the rewards are well worth it. Learn what wellness can do for your workplace by contacting Vice President of Sales & Marketing Brian Fargus at firstname.lastname@example.org.
Hard though it may be to believe, we've already entered the final quarter of 2016. If you're a self-funded employer, that means it's time to get serious about preparing for a critical health care reform mandate: Providing the IRS with an accurate accounting of health coverage for full-time employees. MedBen offers helpful services to complete this task.
Per the Affordable Care Act, health coverage data collected during 2016 must be aggregated and reported to employees no later than January 31, 2017 on IRS Form 1095, and reported to the IRS no later than February/March 2017 (depending on filing requirements) on IRS form 1094. Applicable Large Employers (those with 50 or more employees), or ALEs, must report using the IRS’ C-series forms, and small employers (those with fewer than 50 employees) offering coverage must report using the IRS’ B-series forms.
MedBen has again partnered with MyBenefitsChannel (also known as Five Points Technology) to provide reporting assistance for ALE clients. MyBenefitsChannel has several service options available to help ALEs create and distribute Form 1095-C to employees and prepare and file Form 1094-C with the IRS. MedBen will also be available to assist clients who are small employers by offering related IRS Forms (1095-B – employee notice and 1094-B – IRS transmittal) services for a nominal fee.
Even though the January deadline is over three months away, we strongly recommend that our clients purchase these services as soon as possible.
Regardless of your preferred approach, it is important that you start planning now.
MedBen clients with questions regarding this information may contact their Group Service Representative or Vice President of Compliance Caroline Fraker at 800-851-0907.
Benefits consulting firm Sherrill Morgan, a company that MedBen has worked with for nearly two decades, was recently named by Ohio Business Magazine as among the "2016 Best Workplaces in Ohio."
As one of the magazine's inaugural group of winners, Sherrill Morgan was praised as "a place where a worker feels valued." Based in Covington, KY (right on the Ohio border), the company has provided employer consulting services since 1969.
MedBen congratulates Sherrill Morgan on this impressive achievement!
Employees who have vision benefits tend to take better care of their eyes, a new analysis finds. It's another reason why group vision coverage through MedBen VisionPlus is an affordable way to promote employee health that goes beyond standard medical care.
According to BenefitsPro, a review of data derived from a 16-year consumer study showed that over 87% of Americans with vision coverage intend to get an eye exam within the next 12 months, compared to only 67% of those without a vision benefit. Similarly, following the exam, 67% of individuals with a benefit will get new eyewear, as opposed to just 34% without a benefit.
Of course, to promote better eye care to your employees, it pays to have the right vision plan. With MedBen VisionPlus, you can put together an inexpensive vision package that encourages regular exams and corrective eyewear. Plan members can choose to use network providers at a reduced cost to them, or go outside the network if they prefer.
Moreover, the health benefits of eye care doesn't stop with diagnosing vision problems. By examining blood vessels in the eyes, doctors can detect early signs of chronic conditions like high blood pressure, high cholesterol, and diabetes.
Employers benefit from offering vision coverage, too: It gives them a competitive advantage when recruiting new employees. Find out all the ways MedBen VisionPlus enhances your health care plan by contacting Vice President of Sales & Marketing Brian Fargus at email@example.com.
A recent EBN opinion piece on self-funding makes the observation that "TPAs have no financial incentive to comprehensively review all [claim] payments." At MedBen, we believe just the opposite ‒ as a third party administrator, it is entirely in our best interest that every claim receives a thorough examination.
If the advantages of self-funding had to be encapsulated in one word, a good candidate would be "control." Through self-funding, you control plan design, plan language, and above all, plan costs. And a good TPA like MedBen is invaluable in helping employers realize the maximum financial return from having a higher degree of control.
MedBen often highlights its claims surveillance system, and for good reason: By screening every claim using advanced algorithms, we ensure that claims that may otherwise be overlooked are found and addressed. From there, board-certified medical specialists further review flagged claims and, if necessary, work with the provider to reach a proper resolution.
In 2015, MedBen clients realized an average savings of $13.61 per employee per month through claims surveillance. That represents a 26.5% reduction on a reviewed claim.
Moreover, MedBen has the staff stability and expertise to help you make the most of your plan control in other areas, such as matching proper benefits to the employee population, or using plan language to prevent overpayments for care when less costly alternatives are available.
Earning client loyalty is all the "financial incentive" MedBen needs to do the job right. Learn more about how we help you control your health plan by contacting Vice President of Sales & Marketing Brian Fargus at firstname.lastname@example.org.
Colonoscopies are critical to the early detection and treatment of colon cancer, but they're not the only thing that can help you spot the disease. You also have to pay attention to signals from your digestive system, researchers warn.
"The old saying 'listen to your gut' holds true when it comes to your health. If you notice differences that persist more than a week, contact your physician," said gastroenterologist Dr. Amit Singalin, representing colleagues at the University of Texas Southwestern Medical Center.
"Many conditions can cause digestive symptoms, but if it is cancer and you catch it early, you'll have a better prognosis," he added.
Persistent lower belly pain or discomfort, or substantial changes in bowel movements, may indicate early warning signs for colon cancer. But even if no symptoms are present, every adult age 50 and older should be screened for the disease.
MedBen WellLiving promotes age-appropriate screenings for colon cancer and other chronic diseases. Our program also encourages primary prevention through regular wellness exams, which helps your physician monitor individual changes that may alert him or her to the onset of a serious disease.
"Keep analytics clear, simple, and interactive in order to deliver effective care transformation messages." That was the message Kurt Harden, President and Chief Operating Officer of MedBen Analytics, delivered to hospitals, health systems, and consultants at a recent national conference for the newest iteration of the Centers for Medicare and Medicaid value-based payment initiative known as the Comprehensive Care for Joint Replacement (CJR).
Harden spoke at the CJR Boot Camp held in Miami, Florida on September 24th and 25th, talking with participants about the use of analytics to guide care transformation. “There is very good information available about how health systems across the country have saved money in lower joint replacements. Build analytics with this knowledge in mind,” he said.
CJR is mandated in 67 markets across the United States, and affects over 800 health systems performing lower joint replacements for Medicare recipients. MedBen Analytics performs data analytics services for hospitals participating in the CJR program, turning Medicare claim data under the program into care improvement insights.
In his comments, Harden encouraged participants to keep care transformation analytics focused on key cost-saving areas and avoid being distracting by “interesting but unactionable” data. He also gave examples from MedBen’s proprietary analytics portal, showing how to mine the Medicare claims data for savings opportunities in the CMS value-based care initiatives.
“The post-acute setting is rich with savings potential,” Harden observed. “Skilled nursing care, readmissions, even home health care costs should be monitored closely.”
MedBen Analytics is a subsidiary of MedBen Administrators and provides analytics services for health systems across the country. Organizations interested in discussing MedBen Analytics can call Harden at 888-633-2364 or email him at email@example.com.
With the implementation of the controversial Cadillac Tax postponed until 2020, it's easy for employers to put thoughts of it on the backburner... or hope that it simply goes away. But neither approach is a sound strategy, which is why MedBen recommends that clients continue to make whatever adjustments to their benefits necessary to manage health care cost increases. And our Compliance team can help.
In its current form, the Cadillac tax would assess a 40% penalty on health plans in excess of $10,200 for single coverage or $27,500 for family coverage. Earlier this year, President Obama proposed changing the threshold amount to one that would vary based on regional individual health care costs, but no action has been taken on that proposal. And while it's possible that the tax could someday be repealed, much will depend on the outcome of this year's presidential and congressional elections.
For employers, the smartest action is to assume that the Cadillac tax will take effect in 2020 and prepare accordingly. One important fact to remember is that, for Cadillac tax purposes, the value of a health care plan is determined not just by what the plan offers, but by the overall costs of the plan calculated using the same methodology as used in determining the same plan’s annual COBRA rates. So simply removing a benefit here and there will not significantly affect the coverage cost in relation to the threshold amount if the overall plan costs are not affected.
Clients who would like help determining their probability of being subject to the Cadillac tax are welcome to contact MedBen Vice President of Compliance Caroline Fraker at firstname.lastname@example.org. She'll be happy to run your plan through a special calculator to determine how much you may owe should the tax take effect.
U.S. health care spending growth has been relatively moderate this decade, but some recent numbers suggest that costs could soon see an upswing. For employers, it's an ideal time to review their current health plan administrator and ensure that measures are in place to control potential spending spikes.
According to the Los Angeles Times, the U.S. Labor Department says that health care spending rose 1% in August ‒ the largest single-month increase in more than three decades. While that may not seem like much, similar increases over a year's time could lead to a double-digit spending jump.
Among the factors accounting for the monthly growth increases in hospital services costs and prescription drug pricing. Overall, average drug prices have climbed 6.3% in the past 12 months... and the likelihood is that future years will bring similar increases. Fortunately, MedBen can assist employers in beating these trends.
If you received our new Client Report, you know that we've highlighted some of the ways we help groups control their health plan costs, from our provider-driven claims surveillance system to our advanced reporting platform. And for pharmacy plans, we offer total price transparency, with 100% of pharmacy rebates and discounts returned to the client.
One of our most effective savings tools, plan design, draws upon our years of expertise in third party administration. Our goal is to regularly meet with clients and consultants to review plan activity and discuss ways to further improve care while reducing medical spending.
If you're not a current client, we'd be happy to talk about your current health benefits package and how we can help you defy health care spending trends. Contact Vice President of Sales & Marketing Brian Fargus at email@example.com to learn more.
At an employee appreciation luncheon on Friday, September 9, MedBen honored employees who have reached anniversary benchmarks in 2016. The recognition presentation was co-hosted by MedBen President & COO Kurt Harden and Vice President of Compliance Caroline Fraker. Harden is also among the employees who are celebrating their 25th year with the company.
Harden joined MedBen as Director of Public Affairs in 1991, when the company was primarily a mutual life insurer with a small workforce and an up-and-coming third party administration division. At the luncheon, he thanked everyone for their continued service and singled out those employees also celebrating benchmark anniversaries. "Your loyalty and good work motivate me, and together we all make MedBen a success," he said.
Also receiving special congratulations at the luncheon on their 25th Anniversary were: Sheri Gutridge, Senior Accountant; Monica Jackson, Claims Examiner III; and Cathy Valentine, Data Prep and Data Entry Manager.
Sheri Gutridge has been a member of the MedBen Accounting Department from her very first day, starting as a Staff Accountant following a short stint as a temp. "I have never considered going to another department," she said after the event.
A regular at the lunchtime exercise classes offered by MedBen, Gutridge said that she appreciates how the company "strives to promote wellness." As for what she enjoys most about being an employee, she replied, "It's a wonderful working environment. I hope to be here until my retirement."
Monica Jackson has also worked for just one department (Claims) in her 25 years at MedBen, and in a single capacity, as a Claims Examiner. But as she's gained valuable experience, her responsibilities have grown accordingly. In addition to her own examiner duties, she also trains new examiners and reviews their claims for accuracy.
Jackson cites her co-workers as the best part about working at MedBen. "All the people I work with are great," she said.
Cathy Valentine first joined MedBen as a Submission Control Clerk in the Claims Department, and held various Claims positions before becoming a member of the Data Services team. "After 25 years, I still enjoy coming to work every day," she said.
Valentine added that she is amazed by how much data storage has changed from 1991, when claims were saved to microfiche, then later to disks and now digitally. Likewise, MedBen itself has changed, always with an eye toward improving the client experience. "All of the many employee benefits and products that have been introduced over the years continue to inspire me," she said.
Other MedBen employees honored at the event include:
Not too long ago, it seemed that most people got their flu shot at just about the same time every year. But now that many pharmacies offer walk-in vaccinations ‒ with one major chain even going so far as to offer shopping discounts with your shot ‒ the flu shot season has practically become a year-round event. But is that a sensible approach to protecting against a serious condition like influenza?
The length of a vaccine's effectiveness can vary from person to person, so getting a shot too early could make you vulnerable during the peak months of flu activity (roughly November through March). Moreover, health plans typically pay for just one flu shot per year, and cover additional shots only in cases of medical necessity.
Therefore, when you get the immunization matters. For most people, the best time to get immunized is just prior to the start of flu season ‒ mid- to late October is a good rule of thumb. Keep in mind that the vaccine can take several weeks to become effective, so procrastinating isn't a good idea, either.
Employees covered under a MedBen-administered health plan who have questions about their flu shot benefits are welcome to contact our Customer Service Department at 800-686-8425.
Group health care plans can take up a sizable chunk of employer budgets, but MedBen offers a variety of ways to free up a portion of those funds for other business matters. In our new MedBen Client Report, we highlight some of the methods we use to save clients money.
According to Benefits Pro, a new report from the Society of Human Resource Management says the cost of providing health coverage to the average U.S. employee rose nearly $500 over the past year. That means employers are now spending an average of $8,669 annually for each worker they cover, or about 7.6% of their budget. Fortunately, MedBen has multiple solutions to keep your coverage costs in check.
This year's Client Report explains how saving employers money is a companywide effort. Our solutions range from a doctor-driven system for comprehensive claim review, to a transparent pharmacy plan that returns 100% of prescription rebates and discounts to the client. The report also shows the actual savings clients are seeing from these and other cost containment services.
We recently sent the Client Report to our self-funded group contacts and brokers. If you have not yet received one or would like to request additional copies, please contact Sales Analyst Sally Wood at firstname.lastname@example.org. Or, if you're an employer interested in knowing more about the ways that MedBen's self-funded savings solutions can benefit your bottom line, you're welcome to contact our Sales and Marketing Department at 888-627-8683.
Pharmaceutical company Mylan finds itself in a firestorm of controversy regarding its EpiPen auto-injector, the price of which has skyrocketed from just $100 in 2007 to over $600 today. While its convenience has made it a must-have for certain allergy sufferers, its high cost has upset consumers and health plans alike and opened the market for less expensive options.
An EpiPen injects a dose of epinephrine (adrenaline) into individuals who experience a serious allergic reaction known as anaphylaxis. The key to the EpiPen is not the epinephrine itself, which can be purchased for as little as $15.00, but a dispensing unit that offers easier injections. This patented feature is a major reason that the EpiPen has a virtual monopoly as an anaphylaxis treatment.
Several cheaper alternatives are available, though all lack the EpiPen's ease of use and reliability. Because of the lack of practical substitutes, health plans will typically cover a portion of the EpiPen's cost and require the plan member to pay either a percentage of the remaining charge or a flat copay.
In the wake of the controversy, Mylan is now offering coupons that lower the patient's out-of-pocket cost to no more than $300. Additionally, the company will soon offer a generic EpiPen, also retailing for $300. Meanwhile, competing drugmakers have stepped up their efforts to provide alternative auto-injector options.
MedBen clients who have a question about EpiPen coverage or any aspect of their prescription plan are welcome to contact their Group Service Representative. Additional information about EpiPens and available alternatives can be found at the MedBen Access website.
Although they may not cure mental health diseases, certain foods have been shown to help improve and protect the brain and its functions. A study from the journal Neurological showed that adding servings of fruit to your diet (1–2 cups daily depending on your age and gender, per USDA recommendations) decreases the risk of stroke by 11%.
But why does fruit play such a vital role in brain health? The study suggests that fruit has a positive effect on blood pressure and high cholesterol. Potassium-rich fruits such as avocados help to reduce the risk of hypertension, which has been linked directly to increased risk of stroke. It should be noted, however, that avocados are fatty fruits and consumption should be kept to one-quarter or one-half of an avocado once a day.
Blueberries are also a good example of brain-healthy fruit, packed full of antioxidants which help to protect the brain from oxidative stress and may reduce the effects of age-related conditions such as Alzheimer’s disease or dementia. Citrus fruits, such as lemons and pomegranate juice, provide antioxidant properties as well. But again, be conscious of the amount consumed. Because pomegranates are fairly high in sugar, limit your intake to no more than two ounces a day, diluted with spring water or seltzer.
If you have questions about how much fruit you should include in your diet, or to gain more information on how to keep your brain healthy, MedBen WellLiving suggests consulting your family doctor.
Here's a good reason to promote the value of exercise to your employees: It could save them $2,500 a year.
According to a new study published in the Journal of the American Heart Association, an analysis of 26,239 men and women found that just 30 minutes of walking five days a week can result in a substantial reduction in medical costs.
Researchers from Yale, Johns Hopkins, and other universities and hospitals reviewed data from a 2012 health and lifestyle survey and determined that individuals who exercise regularly realize greater financial savings than those who don't engage in regular physical activity. People with a history of cardiovascular disease who worked out regularly saved up to $2,500 annually, including $400 on prescription drugs, than those who did not. Even people with less serious health issues can cut their medical bills by an average of $500 just by exercising.
At MedBen, we incentivize our employees for staying active: Those who work out three or more times a week will have additional money contributed to their HRAs. If you're a MedBen WellLiving client and would to discuss ways to incentivize your work force to exercise, just contact your Group Service Representative.
While precision medicine is in its relative infancy, its implications for our future health is significant. Tapping into that which makes us unique as individuals ‒ genetics, lifestyle, and environment ‒ improves the chances of better treatment outcomes and faster recoveries.
MedBen recently took its first step into this intriguing medical model through the introduction of a pharmacogenetics test that determines personal compatibility with hundreds of commonly prescribed drugs. By eschewing the "one-size-fits-all" approach that once was common to prescribing, the physician is better able to choose the drug and dose that's best for the patient.
Pharmacogenetics encompasses such common therapeutic categories as cardiovascular (heart), oncology (cancer) and pain management. It also extends into such sciences as psychiatry and neurology, thereby offering potential benefits for mind and body alike.
Besides reducing the trial-and-error common to prescribing, there's another important consideration for using pharmacogenetics testing: It also reduces the risk adverse drug reactions that can lead to unwanted side effects, be they minor or something much more serious. Plus, additional drugs may be required to treat those side effects, resulting in extra costs.
There's a good likelihood that MedBen will be exploring other forms of personalized medicine down the road. In the meantime, we invite you to learn more about pharmacogenetics testing and the positive impact it can have on your plan members. Contact Vice President of Sales & Marketing Brian Fargus at email@example.com.
Heart disease and cancer rank as the number one and two causes of death in the United States, according to new data from the Centers for Disease Control and Prevention. The two diseases are trending in opposite directions ‒ but in both cases, early detection through preventive care can help to bring the overall mortality numbers down.
By encouraging preventive care through a wellness program like MedBen WellLiving, employers can help their employees to reduce the risk of developing a fatal disease such as heart disease, detect cancer in its earliest stages, or realize a higher quality of life in general. Additionally, the financial savings from early detection can be significant.
MedBen WellLiving takes a two-pronged approach to worksite wellness: Primary Prevention, which advocates annual wellness exams and cancer screenings for the entire workplace; and Specialty Care, which connects plan members at higher disease risk with registered nurses for personalized counseling. Together, these programs can aid your business greatly in reducing illness while improving productivity.
Worksite wellness works best when it focuses on preventing major diseases through timely intervention and promoting the doctor-patient relationship, and MedBen WellLiving can help you do that. Get more information by visiting MedBen.com or contacting Vice President of Sales & Marketing Brian Fargus at firstname.lastname@example.org.
The staff of MedBen want to wish you and your family a safe and relaxing Labor Day!
Our home office will be closed on Monday, September 5 in observance of the holiday. We will reopen at 8:00 a.m. EST Tuesday, September 6.
Additionally, MedBen will be closing at 12:00 p.m. EST on Friday, September 9 for a companywide employee recognition event. We will reopen at 8:00 a.m. EST on Monday, September 12.
During these times, please remember that clients can use the 24/7 online services of MedBen Access to check on benefit coverage and the status of any pending claims. Simply go to MedBen.com and select "MedBen Access". For those who use Pharmacy Data Management (PDM) as their pharmacy benefits manager, you can check on prescription claims and find lower cost drug options through MedBen Access by clicking on the "Rx" button located in the "My Claims" section of this website.
If you're a MedBen Flexible Spending Account (FSA) or Health Reimbursement Arrangement (HRA) participant in addition to having other coverage, you also can use MedBen Access to see your FSA/HRA balances, claims submissions and payments. When you log in to MedBen Access, you'll find an "FSA/HRA Online Inquiry" option (visible only to groups offering MedBen FSAs/HRAs) under the "My Plan" section located on the left sidebar. By selecting this option, users are automatically taken to the MedBen FSA/HRA Online System.
Once again, have a good holiday!