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  05:35:41 pm, by MedBen5   , 285 words,  
Categories: Wellness

Winning The Workplace Snack War

We’ve all done it: We’re at work, we walk by a candy jar or open bag of “fun-sized” chocolate bars, and our resolve immediately goes right out the window. We grab a couple – one for now, one for ten minutes later – enjoy the instant sugar rush, and get back to whatever it is we were doing.

A recent Wall Street Journal article examined the gravitational pull that office snacks have on our collective sweet tooth. It is possible, as the piece notes, that “setting out little bowls of chocolates and mints builds esprit de corps in the office.” It’s a mini-break, an opportunity for a quick chat with nearby co-workers, and a pleasant jump-start before returning to work. What’s not to like?

Well, there is a potential downside to all that extra grazing, sad to say. As Medical News Today points out, the sugar rush only takes one so far. As most of us already carry more weight around than we should, excess snacking may result in feelings of listlessness, moodiness and anxiety. And as just two small pieces of candy each day contains about 480 calories, it also means additional time on the treadmill.

At MedBen, we’re certainly no strangers to the siren song of the candy jar. But we do take measures to balance out sugary snacks with healthier options. Along with the standard vending machine selections, you will find a variety of heart-friendly refreshments. Additionally, we receive several varieties of fresh fruit two times a week, which can be purchased on the honor system for just 25¢ each. And when we do need to work off the occasional indulgence, MedBen offers discounted memberships to nearby health clubs for employees and their families.

  01:33:25 pm, by MedBen5   , 344 words,  
Categories: News

Insurance Exchanges Already Giving States Headaches

Health insurance exchanges, a cornerstone of the Affordable Care Act, will offer individuals and business a standard package of benefits while giving states a fair amount of leeway in their operation. And even though they won’t be available until 2014, state politicos are already hard at work hashing out the details – and finding out that the freedom to create comes at a price.

The Washington Post reports that members of Minnesota government are at odds as to how to implement their exchange. In February, State Rep. Steve Gottwalt, the chairman of the Health and Human Services Reform Committee, wrote an exchange bill that would limit the government’s role – and which, in the ensuing months, has been largely ignored by Democrats as well as Gottwalt’s fellow Republicans. Meanwhile, Democrat Rep. Erin Murphy has filed a bill that would set up a state agency to administer the exchange – and would offer a public option in addition to a private insurer plan. No way, Republicans responded.

Of course, the state could just use the federally-designed exchange model that will be available to all states. But as Minnesota sees itself as a leader in health care innovation, such a move would be anathema to both parties. And so it goes.

Over in Vermont, the state government is going a different route – sort of. Governor Peter Shumlin is only days away from signing into law what is being vaunted as “single payer health care reform.” But as The Health Care Blog notes, the bill is less about introducing a single payer system – indeed, no funding mechanism or benefit standards are included – and more about putting in place a (surprise!) state insurance exchange and encouraging experimental payment structures.

The Vermont bill also creates a “Board for Green Mountain Care", which will review funding and benefit options and make recommendations to the state legislature in 2013. It will be interesting to monitor the board’s progress and see if their suggestions truly go outside the box or simply echo the federal exchange model – whatever that will be.

  11:54:51 am, by MedBen5   , 196 words,  
Categories: News, Wellness

High Coffee Consumption May Ward Off Deadly Prostate Cancer: Study

What a difference a day makes… just a mere 24 hours ago, we posted an item about a study linking obesity to the spread of prostate cancer. And now comes news about another prostate cancer study… but this time, the results are much more positive.

NPR reports that a study of 50,000 men found that those who drank coffee regularly actually decreased their risk of developing the most aggressive form of prostate cancer. “For the men who drank the most coffee, their risk of getting this bad form of prostate cancer was about 60% lower compared to the men who drank almost no coffee at all,” says Lorelei Mucci, an epidemiologist at the Harvard School of Public Health and an author of the study.

It should be noted that reaching the 60% threshold requires at least six (!) cups of coffee a day. But even a couple cups daily reduces the risk. Also worth noting: caffeine didn’t affect the risk level, only the coffee itself – so decaf is equally effective.

Oh, and if you’re not a coffee drinker, the study also found that men who exercised two or three times per week reduced their risk of lethal prostate cancer by 50%.


  12:16:45 pm, by MedBen5   , 232 words,  
Categories: News, Health Plan Management

Major Savings Potential From Enhanced Anti-Fraud Focus

The jury is still out (way, way out, really) on the ultimate effectiveness of the Affordable Care Act, but there’s no denying that at least one good thing has come from it. The federal government has stepped up efforts to reduce fraudlent activity in the Medicare system, from high-profile anti-fraud sweeps to new tools that root out waste and abuse.

Medical News Today reports that a Centers for Medicare and Medicaid Services (CMS) analysis says ACA provisions to crack down on Medicare fraud will save nearly $1.8 billion over the next five years, not counting programs already in place. While it’s just a small fraction of the $150 billion savings the CMS expects to see by 2015 through reforming Medicare provider payments, wellness promotion and improved care efforts, it’s an area in which real progress can be made quickly and decisively.

At MedBen, we’re continually proactive when it comes to ensuring that clients pay only for legitimate billing costs. Our Anti-Fraud Unit reviews questionable claims, and other related information, to help conserve plan assets. And we partner with associations formed to share information regarding possible fraudulent activities.

Internal fraudulent activity is monitored through system security access levels. Our claims examiners are trained to refer potentially fraudulent claims to their departmental manager.

To learn more about the ways we guard our clients against fraud, call MedBen Vice President of Sales and Marketing Brian Fargus at (888) 627-8683.

  11:21:40 am, by MedBen5   , 200 words,  
Categories: News, Health Plan Management

Cost Awareness Translates To Reduction In Unneeded Blood Tests

You’re probably heard the saying that “a little knowledge is a dangerous thing"… and in the wrong hands, that may be true. But get the right knowledge to the right people and good things can happen. Case in point: A new study finds that simply informing physicians about the cost of regular blood tests brought the daily bill down by as much as 27%.

According to The Wall Street Journal Health Blog, doctors-in-training at Rhode Island Hospital in Providence were given spoken weekly reminders regarding the cost of two common lab tests – complete blood count and total chemistry panel. When the study began, the daily cost per non-intensive care patient was $147.73. Over the next 11 weeks of the program, it dipped as low as $108.11, in the eighth week. In total, nearly $55,000 was saved (not factoring in later Medicare and third-party administrator discounts).

“There was no telling anyone when or when not to order a particular test,” says study co-author Elizabeth Stuebing, who added that physicians are rarely made aware of actual dollar amounts. ““The first week I stood up and said that in the previous week we’d charged $30,000 of routine blood work and I could hear gasps from the audience.”

  10:43:58 am, by MedBen5   , 160 words,  
Categories: News, Wellness

Study Links Obesity To Prostate Cancer Spread

There’s yet another good reason for males to pay a little more attention to their waist size. In a new study, researchers found that obese and overweight men greatly increased their risk of prostate cancer spreading.

WebMD reports that overweight men were three times more likely to have their prostate cancer spread, while obese men were five times more likely. The researchers’ conclusions are consistent with earlier studies that demonstrated a link between excess weight and poorer outcomes in prostate cancer patients.

The research team tracked 287 men whose prostate gland was removed following the cancer diagnosis, and who then received androgen deprivation therapy (ADT) to reduce testosterone levels, which can fuel prostate cancer growth. Subjects with a lower body mass index were more likely to see a slower cancer spread from the ADT than heavier subjects.

According to the American Cancer Society, about 217,730 new cases of prostate cancer were diagnosed in 2010. and about 32,000 men died of the disease last year.


  04:44:50 pm, by MedBen5   , 266 words,  
Categories: Prescription

Painkiller Studies Emphasize Need For Professional Rx Guidance

Is online availability of prescription medicines contributing to rising drug abuse? That’s the hypothesis posed in a Health Affairs study, which shows that from the years 1997 to 2007, admissions to drug abuse treatment facilities increased 1% for every 10% bump in high-speed Internet availability.

In a blog posting on the study, observes that in survey data, only 0.1% of painkiller abusers say that they get their drug over the Internet. But such surveys focus more on misusers who get their drugs from friends or family, rather than outright addicts. And as the National Drug Intelligence Center at the Department of Justice notes, drug dealers can and do purchase large quantities of prescription opoids from illegal online pharmacies, thus providing an indirect connection between the Internet and the user.

The Health Affairs research follows on the heels of a Centers for Disease Control and Prevention study (reported on the Medical Xpress website) that found more than 78,000 ER visits per year can be linked to acetaminophen, the active ingredient in many prescription as well as over-the-counter painkillers. And as we highlighted on this blog last week, a great deal of drug misuse stems from a lack of knowledge about the dangers of excessive acetaminophen usage.

Between the ease of online purchasing and a greater accessibility to powerful medications, patients are more likely nowadays to serve as their own gatekeepers when taking painkillers. But when you have a need to use such drugs on a frequent basis, the best solution is to consult with your primary care physician and follow a prescription program that offers relief without jeopardizing your overall health.

  03:22:15 pm, by MedBen5   , 307 words,  
Categories: Wellness

Separating Sunscreen Myths From Reality

Here in the Midwest, we’re finally seeing a spell of warm weather… and only two months into spring, no less! But for us fair-skinned types – and really, anyone who wants to take steps to guard against skin cancer – it’s time to get proactive about lathering on the sunscreen.

WebMD explores the veracity of some common sunscreen wisdom. We’ll give you a synposis here, but you can find the full version on their website.

  1. The higher the SPF, the better the protection. FALSE. The benefits of a higher sun protection factor is minimal – applying lotion properly is more important. For best results, apply a ping-pong ball sized glob of suncreen on your body 30 minutes before going outdoors, and every two hours to exposed skin after that. And apply a dollop the size of a silver dollar to your face every day, regardless of the weather.
  2. It’s OK to use last year’s bottle of SPF. TRUE. Most sunscreens have a shelf life of about two years.
  3. Sunscreen only needs to be applied to exposed skin. FALSE. It is much safer to apply sunscreen to your entire body before you get dressed.
  4. Using makeup with SPF is just like wearing regular facial sunscreen. FALSE. It’s better than nothing, but not as effective as wearing a facial lotion with sunscreen underneath.
  5. Sunscreen can cause cancer. FALSE. The only way sunscreen could be hazardous to your health is if it is absorbed into the body, which does not happen.
  6. “Waterproof” sunscreen doesn’t need to be reapplied after swimming. FALSE. “Water resistant” is not the same thing as “waterproof".
  7. Wearing sunscreen can lead to vitamin D deficiency. FALSE. Enough sun gets through the sunscreen to ensure you plenty of vitamin D.
  8. Sunscreen with antioxidants provides better UVA/UVB protection. TRUE. While not active suncreen ingredients, antioxidants are great SPF supplements.


  05:36:34 pm, by MedBen5   , 202 words,  
Categories: News, Health Plan Management

AMA President On Health Insurance And Individual Responsibility features a guest column by American Medical Association President Cecil B. Wilson, who writes about the importance of responsibility when it comes to health insurance – for the individuals who do and don’t have it, as well as for the private and public entities that coordinate it:

“The American Medical Association (AMA) has long supported individual responsibility to purchase health insurance for those who can afford it and subsidies for those who can’t to help remedy this situation. The AMA established policy on individual responsibility in 2006 and reaffirmed it in 2010. This policy does not dictate what specific type of health insurance needs to be purchased, nor from whom it must be purchased. It must contain, at a minimum, coverage for catastrophic and preventive services, and subsidies should be provided to help with the purchase of insurance for those who need them. The AMA has advocated that a high-deductible health insurance plan, in conjunction with a health savings account, could be an option for some individuals and families.”

Mr. Wilson also touches on the Affordable Care Act, which he notes can only work properly through increased individual participation in the health insurance market. You can read his complete comments here.

  05:10:52 pm, by MedBen5   , 158 words,  
Categories: News, Prescription

Over One-Third Of Doctor's Offices Now E-Prescribe

The era of handing the pharmacist a seemingly illegible presecription may soon come to a close. Medscape Medical News reports that an etimated 36% of office-based physicians were transmitting theur prescriptions electronically in 2010 – a jump of 10% from just one year before.

Surescripts, a pharmacy-industry group that promotes e-prescribing, says that nearly 50% of family physicians, internists, and cardiovascular specialists electronically prescribe, tops among medical professionals. In total, about 190,000 physicians e-prescribed in 2010 – and when nurse practitioners and physician assistants are added to the mix, the number goes to 234,000.

As of the end of 2010, about 1 in 4 prescriptions reach their destination electronically. In just one year, the number of new e-prescriptions and replies to renewal requests rose 72%, from 190 million in 2009 to more than 326 million in 2010.

In its 2010 Annual Report, Surescripts attributes the increase in e-prescribing to federal programs that reward Medicare and Medicaid bonuses to physicians who use approved software or demonstrate “meaningful use” of an electronic health record (EHR) system.


  05:55:46 pm, by MedBen5   , 164 words,  
Categories: News, Health Plan Management

Nine States Want Medical Loss Ratio Requirement Reduced

NPR reports that nine states have asked the federal government to waive the requirement that insurers spend at least 80% of their premiums on medical care or give rebates to individual policyholders.

Under current Affordable Care Act guidelines, insurers in Georgia, Florida, Kansas, Kentucky, Iowa, Louisiana, Nevada, New Hampshire and North Dakota will owe about $95 million in consumer rebates this year. Regulators in those states say that some insurance carriers cannot make the proper administrative adjustments in time, and as a result may choose to exit the market entirely – potentially leaving their insureds without viable coverage alternatives.

Consumer watchdogs argue that most insurers should reach the threshold and waiving the requirement will only serve to deny customers their expected premium refunds.

Precendent has already been established in this matter: Maine received an adjustment in March, lowering the spending requirement to 65% during the next three years.

Most health plans already meet the 80% medical loss ratio requirement. Self-insured plans are not affected by the ACA provision.

  04:57:29 pm, by MedBen5   , 226 words,  
Categories: News, Wellness

Workplace Harmony May Contribute To Longer Lives

Sure, your fellow employees can drive you up a tree sometimes. But if you can somehow find a way to keep your work relationships on an even keel, not only it you make the workday more tolerable, it may give you more time down the road to enjoy your well-deserved retirement.

A Tel Aviv University study published by the American Psychological Association says that a good peer support system at work can contribute to a longer life, according to Medical News Today – particularly among people between the ages of 38 and 43. Curiously, support from higher-ups does nor appear to affect mortality (though it’s probably still a good idea to be supportive, bosses!).

Another finding from the study sample population, both interesting and troubling: Men in positions of authority at work appear to benefit with longer lifespans, but women with control and decision authority have an increased risk of mortality. The lead researcher, Arie Shirom, PhD, did note that as most of the participants were blue-collar workers, higher levels of control were found in jobs typically held by men.

In making their conclusions, researchers looked at medical records of over 800 adults over a 20-year period, and participants completed questionnaires that measured job demands, control at work and peer and supervisor support. Partipants who reported working with helpful and friendly co-workers were considered to have high peer support.


  05:28:30 pm, by MedBen5   , 211 words,  
Categories: News, Wellness

MedBen Among Attendees at Fisher-Titus Health Fair

FTMC Health Fair

MedBen was among the organizations in attendance at the 1st Annual Fisher-Titus Medical Center (FTMC) Employee Health Fair in Norwalk, Ohio on Tuesday, May 10. Headed by FTMC Vice President of Human Resources Phil Annarino and Benefits Coordinator Louise O’Dell, and open to hospital employees and volunteers, the fair offered information and advice from a wide variety of health care industry experts.

Group Service Representative (GSR) Darcie Waddell worked the MedBen booth, and was available to assist FTMC staffers with their wellness and other questions. MedBen also provided wellness statistics for the FTMC population, including the percentage of workers at risk for hypertension, asthma, cholesterol and other chronic conditions, and staff compliance with various preventive tests.

FTMC Health Fair

Face-to-face employee communication is just one part of the services provided to MedBen clients. Whether it be related to worksite wellness, health plan usage or participant enrollment, our GSRs and other team members are more than happy to meet at your office or external company function.

To set up an onsite meeting with MedBen employees, current clients are welcome to get in touch with their one of their GSRs. If you’re in the market for health insurance or third-party administration, we invite you to contact MedBen Vice President of Sales and Marketing Brian Fargus at (888) 627-8683.

  04:14:39 pm, by MedBen5   , 183 words,  
Categories: News, Health Plan Management

Twin Bills Propose National Single-Payer Health Care System

Republicans have been pretty busy these days introducing – and in the House, passing – bills to change the face of federal health care reform. So you can’t really blame those on the other side of the aisle for wanting to get in on the excitement.

Earlier today, Sen. Bernie Sanders (I-Vt.) and Rep. Jim McDermott (D-Wash.) introduced the American Health Security Act of 2011– twin bills that would establish a single-payer health care system. According to The Hill, the bill would “establish state-based programs to administer coverage and set payment rates for providers” – and in doing so, would replace Medicare, Medicaid, the Children’s Health Insurance Program and insurance exchanges established last year under the Affordable Care Act.

The new system would be funded under current reform measures as well as a series of tax increases on businesses and individuals.

The Massachusetts Nurses Association released a statement supporting the measure and praising Sanders and McDermott. Massachusetts, of course, already has a single-payer system in place – one currently beset with long waiting periods to see a doctor and steadily rising costs.

  03:25:17 pm, by MedBen5   , 216 words,  
Categories: News, Wellness

Many Patients Receive Excessive Colon Cancer Screenings: Study

Yesterday on this blog, we touched on the question of how early and often women should receive mammograms. Today, we look at the other side of the equation, albeit regarding a different test – patients who get colorectal cancer screenings more often than guidelines recommend.

The Associated Press reports that in a University of Texas study, nearly half of the subjects received a colonoscopy less than seven years after their previous test, even though they had found no earlier problems. Only 27% of patients showed symptoms that could be linked to cancer. Current guidelines recommend a test every 10 years, starting at age 50.

Medicare ostensively follows the 10-year rule for colonoscopies, save for high-risk cases, but only 2% of study claims were denied for repeat exams in people without symptoms. In addition to the cost factor – screenings typically exceed $1,000 – excessive colonoscopy testing poses risks to older patients, such as complications from sedation, accidental perforation of the colon and bleeding.

Moreover, the study revealed that repeat test subjects included people 80 and older – an age group that can skip colonoscopies altogether if symptoms did not appear during earlier tests. The U.S. Preventive Services Task Force recommends against routine colon cancer screening for most people 76 to 85 – and says for those older than 85, screening risks outweigh the benefits.


  05:25:47 pm, by MedBen5   , 212 words,  
Categories: News, Health Plan Management

High-Risk Plan Popularity Improves, Though Enrollments Still Low

Enrollment in high-risk insurance pools has grown steadily this year, but still lags well behind initial estimates. NPR reports.

As of the end of March, 18,313 people nationwide have signed up for the Pre-Existing Condition Insurance Plan – a jump of nearly 6,000 in just two months. But that’s a far cry from the optimistic Congressional Budget Office estimate that 200,000 uninsured Americans with pre-existing conditions would be enrolled by 2013. The Chief Actuary of Medicare and Medicare had predicted that by the end of 2010 alone, enrollment would reach 375,000 people.

Enrollment in the pools vary widely by state, from a high 2,684 in Pennsylvania to only six in North Dakota. Montana has the highest proportion of enrollees, but the absolute number is just 198 people.

The high cost of the plan is believed to be a major stumbling block in attracting individuals – so much so that the Department of Health and Human Services lowered premiums in federally-run plans by about 20% this year. HHS has asked state-run plans to consider bringing their costs down as well, although they have generally been more successful in attracting enrollees than states using the federal option.

The high-risk plan was designed to be used as stopgap coverage until 2014, when insurers will no longer be able to charge higher rates for pre-existing conditions.

  04:10:12 pm, by MedBen5   , 214 words,  
Categories: News, Wellness

Despite Guideline Controversy, Women Think Mammograms Should Start In 40s

When the U.S. Preventive Services Task Force (USPSTF) recommended in 2009 that most women don’t need to get a mammogram until age 50, it set off an immediate firestorm, followed quickly by an about-face from the Department of Health and Human Services. But a new Harris Interactive/HealthDay poll finds that two-thirds of women in their 40s didn’t even know about the controversy – and regardless, they don’t want to wait an additional 10 years to get tested.

HealthDay (via reports that 57% of women surveyed think mammograms should start at age 40 per American Cancer Society guidelines, while only 12% believe that women should wait until they turn 50. In fact, a sizeable subset feels quite the opposite – 29% say mammograms should start in the 30s, and 11% think 20 is the proper age.

When reminded about the USPSTF guidelines, 66% of women in their 40s admitted they were not aware of them, and 72% of that group disagreed with the recommendation. Moreover, some suspect the task force of putting cost above safety – 45% of those surveyed think that the mammogram age was raised to reduce health care costs. In reality, the USPSTF said that mammograms for women in their 40s led to too many false-positives – and 30% of polled women believe that’s why the task force made the contentious recommendation.


  05:39:01 pm, by MedBen5   , 257 words,  
Categories: News, Wellness

Health Survey Results Emphasize Need For Wellness Promotion

First, the bad news: A new annual survey from the International Food Information Council found that people are steadily losing interest in keeping the excess pounds off. According to WebMD, only 57% of respondents say they are concerned about their weight this year – down from 70% in 2010 and an all-time low.

Further, 43% of respondents say they lead sedentary livestyles, up 6% from just one year ago. And 42% admit that they never count calories. More people say their diets are healthy and fewer consider themsevles overweight, though their reported weights and heights tell otherwise.

Now, the good news: Companies that make a serious effort to help their employees get in better shape are seeing positive financial results. The International Association for Worksite Health Promotion reports that the return on investment for employers that offer a worksite wellness program can be as high as six to one, according to Medical News Today.

Moreover, by promoting improved health in the workplace, businesses benefit from better production and higher attendance. And employees who get encouragement to monitor their health and receive one-on-one coaching for chronic conditions have a better awareness of what they need to get and stay well.

MedBen Worksite Wellness offers a variety of tools to help employers and employees alike. Through a disease- and prevention-based approach that encourages healthier lifestyles for every member and provides customized counseling, members stand a greater chance of falling on the good side of future health surveys.

To learn more about the program, contact MedBen Vice President of Sales and Marketing Brian Fargus at (888) 627-8683.

  12:50:06 pm, by MedBen5   , 228 words,  
Categories: Announcements, Health Plan Management

US Near The Bottom In OOP Health Spending Percentage

Megan McArdle of The Atlantic recently published an interesting chart that we thought we’d share with you here. The chart appears in an response to a piece by columnist Paul Krugman in which he criticizes consumer-driven health plans because, among other reasons, most individuals lack the medical knowledge to make informed life-and-death decisions – and anyway, such decisions should not be made on the basis of money.

In McArdle’s article, she argues that many care choices aren’t quite so dramatic and do allow thoughtful consideration before a decision is reached. Moreover, a government-run health care system will make decisions based on money much more than individuals would.

And the chart? Krugman says that “America has the most ‘consumer-driven’ health care system in the advanced world. It also has by far the highest costs yet provides a quality of care no better than far cheaper systems in other countries.” To which McArdle answers, “The US isn’t even close to being the leader in consumer-driven medicine, if by that you mean cost-sharing and purchasing decisions; in the rich world, that would almost certainly be Switzerland, where patients not only pay heavily out of pocket [OOP], but purchase their own insurance.”

As you can see below, the US is actually closer to the bottom of the list in its percentage of total OOP health spending for wealthy countries, based on 2007 data:

Percetnage of Total Health Spending Out of Pocket
  10:48:53 am, by MedBen5   , 237 words,  
Categories: Wellness

Making "Healthier" Fast Food Breakfast Choices

Let’s face it… you’re in the car one morning, you’re in a hurry, but you’re hungry… what are you gonna do? Most likely, you get in line at the drive-thru of your local fast food outlet for quick relief. Of course, you know going in that while the menu selections may quell your cravings, they won’t do much for your health… or your waistline.

WebMD has generously taken the guesswork out of choosing the “healthier” (as opposed to purely “healthy") options at some of the most popular dine n’ dash joints. We’ll highlight some choices from the most popular restaurants, but you can view the whole list at WebMD.

McDonald’s BEST: Egg McMuffin: 300 calories, 12 grams fat, 5 grams saturated fat, 260 mg cholesterol, 820 mg sodium, 2 g fiber.

McDonald’s WORST: Deluxe Breakfast with large size biscuit, without syrup & margarine: 1140 calories, 59 g fat, 20 g saturated fat, 575 mg cholesterol, 2250 mg sodium, 7 g fiber.

Burger King’s BEST: French Toast Sticks, 3 piece: 240 calories, 13 g fat, 2.5 g saturated fat, 4 g protein, 0 mg cholesterol, 260 mg sodium, 1 g fiber.

Burger King’s WORST: Enormous Omelet Sandwich: 730 calories, 45 grams of fat, 16 grams of saturated fat, and 330 milligrams of cholesterol, 1,940 mg sodium.

Subway BEST: Egg White & Cheese Muffin Melt: 150 calories, 3.5 g fat, 1.5 g saturated fat, 5 mg cholesterol, 480 mg sodium, 5 g fiber.

Subway WORST: Footlong Mega Breakfast Sandwich: 1,310 calories, 79 g fat, 31 g saturated fat, 550 mg cholesterol, 3,190 mg sodium, 10 g fiber. (This sandwich is not available in all Subway restaurants.)

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