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03/20/14

  04:31:05 pm, by MedBen5   , 295 words,  
Categories: News, Prescription, Health Care Reform

Birth Control Mandate Critics About To Get Day In Court

Supreme Court

On March 25, the Supreme Court is scheduled to hear oral arguments regarding the question of whether or not employers should be required to cover contraceptives even if it conflicts with their religious beliefs. The hearing marks the latest (and final?) chapter in a conflict that has waged on since 2012.

The Affordable Care Act mandated that employers provide no-charge birth control for female members, although it exempted churches from the rule. But when faith-based organizations protested, the Obama administration last year revised the provision, now requiring that insurance companies which cover religious-affiliated groups must provide free contraceptive benefits on their behalf, if so notified by a group of its objection. In turn, the insurer would get a reduced fee to participate in health insurance exchanges.

There remained the question of how to address self-funded religious groups. In such cases, the administration said, the group needed to make arrangements to provide coverage through a separate health plan, and its third-party administrator would notify enrollees of coverage availability.

The changes did not placate religious groups, which proceeded to file over 90 lawsuits across the country. The justices will hear oral arguments from lawyers representing two of the highest-profile cases, Sebelius v. Hobby Lobby Stores and Conestoga Wood Specialties v. Sebelius.

Public sentiment currently favors the administration. A recent NBC News/Wall Street Journal poll revealed that 53% of Americans say employers should not be exempt from the requirement, while 41% say they should be exempt.

MedBen clients who have questions about contraceptive coverage rules may contact Director of Compliance Annette McNair at amcnair@medben.com.

Finally, if you’re interested in reading more about the religious and political ramifications of the upcoming hearing, an article in today’s USA Today explores the various legal questions posed by the opposing parties in the case.

03/19/14

  04:21:07 pm, by MedBen5   , 214 words,  
Categories: News, Wellness, Health Plan Management

Colon Cancer Study Results Suggest Effectiveness Of Wellness Screenings

Promoting preventive care continues to pay off in a big way. The latest evidence: Colon cancer cases among Americans 50 and older fell 30% in the last decade, according to a new study.

The Wall Street Journal reports that the study of government data by the American Cancer Society also found that colon cancer death rates dropped about 3% a year between 2001 and 2010, compared with 2% a year in the previous decade.

“We’ve almost halved the mortality rate from colon cancer in the last 35 years,” said ACS Chief Medical Officer Otis Brawley in comments about the study.

MedBen Worksite Wellness believes that cancer screenings and regular wellness exams are critical to employee health and productivity – and in turn, employer costs. That’s why our Primary Prevention Program promotes plan member awareness of personal health through individualized wellness screening recommendations, customized for age and gender and based on the individual’s medical claims history. To learn more, contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

MedBen follows ACS recommendations that people with an average risk of developing colon cancer get screened starting at age 50. MedBen Worksite Wellness members can check their compliance with colonoscopies and other critical wellness examinations by visiting the MedBen Access website and clicking on the iHealth Information link under “My Plan”.

03/18/14

  04:15:03 pm, by MedBen5   , 525 words,  
Categories: News, Prescription, Wellness, Health Plan Management, Health Care Reform, Taxes

MedBen Government Roundtable Highlights Savings Solutions

Kurt Harden

Money-saving strategies took center stage at MedBen’s 8th Annual Government Employer Roundtable held on March 18. Municipalities whose benefits are administered by MedBen got to see how their plan performed in comparison to other municipal employers, and learned about performance indicators they can use in order to best manage costs.

Vice President of Sales & Marketing Brian Fargus led off his review of 2013 client benchmarks with the observation that PEPY costs of MedBen’s government block had decreased 2% since 2010. While municipality costs still tended to be higher than those of other types of businesses, much of that could be attributed to factors common to public employers, such as an older workforce and richer benefits, he said.

Fargus also noted that “for a health plan to succeed, it’s critical that everyone understand its goals.” Only when members are on board with the plan’s objectives – be it taking advantage of free preventive care, using in-network providers or favoring local hospitals over more expensive metro facilities – will costs remain low for employer and employee alike.

In his analysis of pharmacy benchmarks, MedBen President & COO Kurt Harden concurred that employee longevity and more generous benefits contribute to higher prescription plan costs for municipality employees. Many government plans offer set co-pays for all types of prescription drugs, rather than the patient paying a percentage of the costs – which results in greater use of brand name drugs. A better strategy, he suggested, is a fixed generic cost combined with a percentage co-pay on brands.

“A $5 generic, a $10 generic, or a $0 generic beats the uncertainty of a percentage,” Harden said. “The generic dispense rate is driven by the plan design.”

Full story »

03/14/14

  10:01:02 am, by MedBen5   , 227 words,  
Categories: Health Plan Management, Health Care Reform

The Self-funded Difference

“Now more than ever, it pays to self-fund.” It’s a claim MedBen has made in advertisements and to prospective clients a lot lately. But what does it really mean to an employer that still offers traditional health coverage?

Under the Affordable Care Act, a fully-insured employer pays premiums determined by an insurance company, based on the insurer’s own claims experience. The employer will not receive any refund, even if its own claims experience is good.

Because many ACA rules don’t affect self-funded plans, the employer can set its own premium rates based on its claims history. Additionally, the employer can adjust the plan benefits and use other ways to cut costs. If employee claims are lower than anticipated, the employer keeps any savings.

Self-funded employers assume a limited portion of the liability and risk associated with health care costs in exchange for significant financial benefits, such as:

  • Reduced claim costs from greater plan design flexibility;
  • Tax benefits; and
  • Reduced administration costs.

This all adds up to bigger cost savings, better plan flexibility, and a greater degree of regulatory freedom. And even smaller businesses can benefit from self-funding, because MedBen has coverage options that minimize financial risk while still offering real savings potential.

If you’d like to learn more about MedBen self-funded solutions, contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

03/13/14

  12:32:12 pm, by MedBen5   , 183 words,  
Categories: News, Health Care Reform

Employers Can Pay Reinsurance Tax In Two Installments, Says HHS

Businesses have gotten a break of sorts from the Affordable Care Act’s Transitional Reinsurance Tax. Business Insurance reports that rather than paying the fee in a lump sum, the Department of Health and Human Services will allow employers to make the payment in two installments if they prefer.

“We recognize that the reinsurance collections provided for in the Affordable Care Act will result in substantial upfront payments from contributing entities for the reinsurance program. Therefore, in consideration of the comments received, we are finalizing our proposal to collect contributions via two payments,” the final rules said.

The per-member tax, which is assessed on group health plans to cover high-cost cases in the individual market, took effect earlier this year. The 2014 fee is $63 per plan participant, and $44 in 2015. HHS has yet to propose the 2016 fee.

The final rules also exempt self-insured plans that also self-administer their benefits from the fees in 2015 and 2016. Only a handful of plans qualify for this exemption, however.

MedBen clients with questions regarding the reinsurance tax are welcome to contact Vice President of Compliance Caroline Fraker at cfraker@medben.com.

03/11/14

  04:10:00 pm, by kthran   , 300 words,  
Categories: Wellness

Don’t Let Workplace Stress Overwhelm You

water cooler

Be it too many tasks, an uncooperative co-worker, or a problem at home that’s affecting your concentration, everyone experiences workplace stress to some degree. The average worker can have as many as 100 projects on the agenda, so it’s understandable to feel your job spinning out of control now and again. The key is to get a handle on things before they overwhelm you.

Workplace stress doesn’t just take an emotional toll – it can do physical damage as well. Mental anxiety can make it harder to control diabetes, increase your risk for coronary heart disease, and even raise your cholesterol level. So don’t take the warning signs for granted.

When you’re feeling the symptoms of stress, such as irritability, headaches, fatigue or stomach problems, be proactive. Meet with your boss about your workload, or speak to your Human Resources representative if a co-worker conflict threatens to boil over.

Even if you’re not overly stressed, studies suggest that removing yourself from the office for just 30 minutes allows you to get away from daily interruptions and helps to clear your mind. And when you can’t take a break, just a series of quick deep breaths for 90 seconds at your desk can help you relax and improve your focus.

Full story »

03/06/14

  05:25:06 pm, by MedBen5   , 239 words,  
Categories: News, Prescription, Health Plan Management

MedBen Rx Model Offers Transparency, 100% Discounts And Rebates

“[Pharmacy benefit managers] cut private deals with drugmakers and then set maximum amounts they’ll reimburse drugstores for generic drugs and what they’ll charge companies, insurers or other clients for the drugs. The difference between these two numbers is often called ’spread pricing,’ and remains a murky but highly profitable area.”

So states a USA Today article regarding PBMs, which also notes that such companies are becoming “more profitable and powerful” in the era of health care reform. And indeed, it is true that some PBMs hold back a portion of those rebates – typically, to offset so-called “lower” administrative fees – and pocket the difference.

At MedBen, however, we partnered with a PBM which shares our belief that such tactics have no place in Rx benefits management. And that’s why 100% of discounts and paid pharmacy rebates go directly into your health plan.

MedBen offers a transparent, full pass-through Rx model that results in better savings for clients. We offer superior discount rates, including generic discounts that are among the best in the industry. And we support our pharmacy program with strong, useful reports and recommendations that drive groups toward good plan design decisions.

MedBen will work closely with your group to design a pharmacy plan that best meets member needs, with no hidden fees – instead, you get the maximum savings possible. To learn more, contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

03/04/14

  05:26:36 pm, by MedBen5   , 463 words,  
Categories: News, Prescription, Wellness, Health Plan Management, Health Care Reform

Wellness, "Own Use" Rx Emphasized At MedBen Hospital Roundtable

MedBen Hospital Roundtable

Earlier today, MedBen clients and non-clients turned out for the company’s 12th Annual Hospital Employer Roundtable at the Morrow Conference Center in Newark, Ohio. Members of the MedBen team offered their insights on the current state of health care benefits, with an emphasis on showing ways that hospitals are bringing down their group coverage costs.

MedBen Vice President of Sales and Marketing led off the roundtable with a review of hospital benchmarks for 2013. In prefacing his comments, Fargus observed that stop-loss carriers have seen a rise in large claims over the past several years, a trend that invariably affects employer benefit costs. One carrier reported a 79% jump in claims of a million dollars or more from 2011 to 2012 – a period that coincided with the elimination of lifetime maximums under Affordable Care Act rules.

Yet in spite of the uncertainty surrounding health care reform, Fargus noted that MedBen’s block of hospital clients have seen minimal increases of late – in fact, “average costs have gone up an average of only 2.4% since 2010,” he said.

Among the reasons Fargus cited for the slow growth is a greater emphasis on employee wellness. By reducing the “care gap” – a measure of what preventive exams and screenings a group’s plan members should be receiving compared to what they’re actually getting – MedBen’s hospital clients have seen overall improvements in employee health.

Also key to keeping costs low, he stressed, was promoting an advantage distinctive to health care facilities – in-house treatment. Hospitals can realize substantial savings by encouraging plan members to favor their own physicians, as well as buying their prescription drugs from the hospital’s own pharmacy.

Full story »

02/28/14

  04:48:10 pm, by MedBen5   , 316 words,  
Categories: Health Plan Management

How MedBen Reinsurance Captives Work

The Captive Concept

As we recently noted on this blog, MedBen introduced its first reinsurance captive in January, and is developing a second to take effect July 1. A captive is an ideal solution for fully-insured employers that would like to make the switch to self-funding but are concerned about taking on the financial risk.

While a reinsurance captive may seem complicated to those unfamiliar with the concept, it’s actually pretty simple. On its face, a captive is similar to standard self-funded coverage. Employers within the captive still choose their own benefits and specific deductibles, and pay premiums as they normally would for their chosen deductible levels. The real difference resides in a separate pooled or “captive” layer.

A portion of the captive’s collective stop-loss premium is held in this layer, from which claims above the specific deductible are paid. Any funds remaining in the captive layer go back to the groups – and in a good claims year, that can represent a considerable return!

In the sample chart above, the employers pay claims up to their respective specific deductibles. Once reached, an employer’s claims are paid from its own captive layer – and if the maximum amount is reached there, the employer’s stop-loss insurance kicks in.

At the end of the plan year, all employers in the captive share remaining funds in their collective captive layers. Funds are distributed in proportion to an employer’s stop-loss premium – the higher the premium, the more money you get back!

At 2014 MedBen University events in Ohio and Indiana, MedBen will provide guests with a more detailed explanation of how the captive concept works. If you’d like to be notified of upcoming MBUs in your area, just email MedBen Sales Analyst Sally Wood at swood@medben.com. Or if you’d prefer to learn more about MedBen Reinsurance Captives now, contact Vice President of Sales and Marketing Brian Fargus at bfargus@medben.com.

02/27/14

  04:49:09 pm, by MedBen5   , 213 words,  
Categories: News, Health Plan Management

MedBen On Track To Meet ICD-10 Conversion Deadline

The head of the Centers for Medicare & Medicaid Services promises that there will be no further delays in the nationwide conversion to ICD-10, Modern Healthcare reports.

At an industry convention today, Marilyn Tavenner said that the changeover to the new system of diagnostic and procedural codes “will go live on October 1.” She noted that there have already been several delays “and it’s time to move on.”

Such news may cause concern among benefits managers that were hoping a little extra time – but at MedBen, it’s a non-story. We’re well on our way to completing the conversion in time to meet the federal deadline. As we make clear in a Readiness Statement posted on MedBen.com:

“MedBen will be fully compliant with the upcoming ICD-10 mandate by the deadline of October 1, 2014. We are diligently working to ensure that all of our system components are able to accept and process ICD-10 codes without interruption to our day-to-day processes.

“Our current implementation timeline will allow us to begin internal system testing of the ICD-10 modifications early in 2014. This will enable us to begin testing with vendor partners several months prior to the October 2014 deadline.”

MedBen clients with questions regarding ICD-10 readiness may contact Vice President of Information Systems Rose McEntire at rmcentire@medben.com.

02/25/14

  03:50:59 pm, by MedBen5   , 261 words,  
Categories: News, Health Plan Management, Health Care Reform

Community Rating May Raise Premiums For Most Small Business Employees, Says CMS Report

A new report by the Centers for Medicare & Medicaid Services estimates that the Affordable Care Act may lower rates for 6 million small business employees… but raise rates for 11 million others.

According to The Washington Post, the report attributes the higher rates in part to community rating, in which everyone in a given region pays the same for insurance coverage regardless of their health status (though rates can be somewhat greater for smokers). That results in higher premiums for younger individuals, and lower rates for older ones.

Columnist Asik Roy says the report isn’t telling the whole story, however:

“[T]here are other costly requirements that CMS didn’t directly address. For example, Obamacare includes a silly excise tax on health insurance premiums that will get passed onto consumers in the form of higher prices. Same for its taxes on pharmaceuticals and medical devices. The law also requires that all plans cover a broad range of ‘essential’ benefits, some of which they may not already. The law requires that employers cover ‘adult children’ under the age of 26, which is a good deal for those with adult children, but an added cost for everyone else.

“Then, there’s the likelihood that some of the small employers facing steep premium hikes under the law will drop coverage altogether, and rely on Obamacare-subsidized exchanges instead. That form of
adverse selection will increase the average cost of small-group health insurance. The companies most likely to do this? Those with a disproportionate number of younger and healthier employees.”

Read more of Roy’s thoughts at Forbes.com.

02/20/14

  12:48:14 pm, by MedBen5   , 217 words,  
Categories: News, Health Plan Management

With Advanced Claims Surveillance, MedBen Saves Clients Money

MedBen’s cost containment tools continue to pay dividends! In 2013, our innovative claims surveillance system saved clients an average of $12.56 per employee per month (PEPM) – and that’s savings in addition to plan provisions, network discounts, medical management and other cost controls.

MedBen’s surveillance system, powered by InVentiv Medical Management, provides clients with an unprecedented level of analysis. It thoroughly reviews claims to determine an employer’s potential for large loss, risk of inappropriate billing or fraud, and opportunity for further cost reduction. This extensive screening, which uses over 80,000 financial and clinical algorithms, is performed at no additional charge to our clients.

When the surveillance system flags a claim, the InVentiv medical team further evaluates it (with the client’s approval) to determine the appropriateness of charges and whether the treatment met established clinical guidelines. On average, this physician-driven process saves 43% per selected claim.

The surveillance system complement MedBen’s in-house claims processes, which detect billing errors and ensure network discounts have been properly applied. Of course, these technolgies are overseen and complemented by our team of dedicated claims examiners and the cost containment efforts of our URAC-accredited medical management program.

To learn more about advanced claims surveillance and other methods MedBen uses to save clients money, contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

02/17/14

  05:06:05 pm, by MedBen5   , 351 words,  
Categories: Wellness, Health Plan Management

With MedBen Worksite Wellness, One Call Can Make A Lasting Impression

nurse

MedBen Worksite Wellness provides a range of services to plan members, from customized recommendations for personal health screenings to one-on-one counseling for chronic conditions. But often, individuals who participate in the program are just thankful for the knowledge that someone is looking out for them.

A worksite wellness nurse coach recently shared with MedBen several instances where a seemingly simple gesture made a favorable impression on the recipient (all plan member’s names were kept confidential):

  • At the completion of her first phone conversation with a MedBen Worksite Wellness nurse about her cholesterol and blood pressure, the plan member said, “It is so good to talk with someone knowledgeable about my health. I appreciate the program.”
  • As part of a routine coaching call, the wellness nurse encouraged a plan member to complete a mammogram as part of her preventive testing. When the nurse said that the current records indicated it had been over two years since her last screening, the plan member replied, “I always have a mammogram every two years.” But upon checking her records, the plan member was surprised to find that she was indeed overdue for a mammogram… and she thanked the nurse for reminding her to schedule a test.
  • A wellness nurse advised that a plan member cut down on caffeine – a step he was initially reluctant to take. But after following the recommendation, the plan member told the nurse, “I drink decaf now and my blood pressure is so much better.”

As these examples demonstrate, just a few moments of conversation can result in a small lifestyle change that can make a big difference down the road, or simply put a plan member in a more positive state of mind. And naturally, our team of wellness coaches also provide open-ended help for patients who are experiencing an ongoing medical issue.

In short, MedBen Worksite Wellness can offer a degree of help to every one of your plan members, resulting in a healthier and more productive workforce. To learn more about the program’s advantages, contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

02/12/14

  04:41:25 pm, by MedBen5   , 249 words,  
Categories: News, Health Plan Management, Health Care Reform

White House Delays Employer Mandate (Again)

On Monday, the Obama administration announced that midsize employers would receive another reprieve from the employer mandate under the health care reform law.

Originally scheduled to take effect last month, the requirement that employers with 50 or more full-time workers provide health insurance had already been delayed until 2015. This latest postponement will push the compliance date to 2016 – but only for employers with 50 to 99 employees.

While employers with 100 or more workers still must “pay or play” in 2015, the administration did ease requirements on those groups as well. These groups need only cover 70% of full-time workers in 2015 and 95% in 2016 and after.

The changes were made in the Treasury Department’s release of the Final Shared Responsibility regulations, which also clarified requirements for seasonal employees, volunteer firefighters, teachers, adjunct faculty members, and other specific employment circumstances. Employers with less than 50 employees will continue to be exempt from the employer mandate.

Whether or not these revised rules portend a permanent change to the employer mandate is unclear, but a caveat by the Treasury – “As these limited transition rules take effect, we will consider whether it is necessary to further extend any of them beyond 2015″ – suggests that further delays are a possibility.

MedBen’s compliance team is currently reviewing the final regulations (all 200+ pages in the pre-Federal Register version of them) and will provide additional guidance to clients soon. In the meantime, clients with questions regarding the employer mandate are welcome to contact Vice President of Compliance Caroline Fraker at cfraker@medben.com.

02/11/14

  05:39:31 pm, by MedBen5   , 266 words,  
Categories: News, Wellness

Cancer Risk On The Rise Globally, But Wellness Focus Can Slow The Growth

Worldwide cancer incidents continue to rise as the overall population increases, according to new World Health Organization (WHO) report.

USA Today reports that new cancer cases will jump globally from an estimated 14 million in 2012 to 22 million new cases a year within the next two decades. During that same period, cancer deaths are predicted to rise from an estimated 8.2 million annually to 13 million a year.

The situation in the Western world is better, relatively speaking. While cancers deaths continue to go up proportionate with population increases, the risk of cancer has dropped 20% in the past two decades – a trend the American Cancer Society attributes to a greater focus on preventive care.

“Tobacco cessation is the big driver,” said Otis Brawley, ACA chief medical officer. “Many people don’t realize that bad diet and obesity causes 12 different cancers. Indeed it’s the second leading cause of cancer in the United States. Tobacco accounts for 33% of all cancers in the U.S. And bad diet, obesity and physical inactivity account for 28%.”

Western Europe and the United States are exporting obesity and other bad lifestyle habits to the third world, Brawley added. But by promoting current knowledge to other countries, WHO estimates that half of all cancers globally could be prevented.

As the report suggests, a focus on wellness not only improves health close to home – it can have a powerful impact on a much larger scale. If you’d like to learn more about how MedBen Worksite Wellness can benefit your own little corner of the world, contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

02/07/14

  04:33:12 pm, by MedBen5   , 338 words,  
Categories: News, Health Care Reform

Proposed "Excepted Benefits" Rules Good News For Employers That Self-fund Vision, Dental Benefits

The Departments of Labor, Health and Human Services, and Treasury have issued proposals designed to clarify the regulation of “excepted benefits” under the Affordable Care Act. Writing for Employee Benefit News, Alden J. Bianchi notes that the new rules pertain to employee assistance plans (EAPs), stand-alone vision and dental plans, and a new “wrap-around” employee benefit that can supplement public exchange coverage.

The vision and dental rules will be of particular interest to employers that self-fund these ancillary benefits. As Bianchi explains:

“Under prior regulations governing excepted benefits, vision and dental benefits are excepted if they are limited in scope (described as benefits, substantially all of which are for treatment of the eyes or mouth, respectively) and are either:

  • Provided under a separate policy, certificate, or contract of insurance; or
  • Otherwise not an integral part of a group health plan.

“While only insured coverage may qualify under the first test, both insured and self-insured coverage may qualify under the second test. Also under prior regulations, benefits are deemed to be not an integral part of a plan if participants have the right to elect not to receive coverage for the benefits, and if participants elect to receive coverage for such benefits, they pay an additional premium or contribution for it. This approach puts self-funded plans at a comparative disadvantage. Where employers’ self-fund their limited scope dental or vision benefits, they must charge participants a nominal contribution for the benefits to qualify as excepted benefits.

The proposed regulations level the playing field between insured and self-insured coverage by eliminating the requirement that participants pay an additional premium or contribution for limited-scope vision or dental benefits to qualify as benefits that are not an integral part of a plan (and therefore qualify as excepted benefits) [Our emphasis].”

Again, this is just proposed guidance for employers, so final regulations are subject to change. But should MedBen clients have questions regarding these rules or other ACA regulations, they are welcome to contact Vice President of Compliance Caroline Fraker at cfraker@medben.com.

02/06/14

  03:56:50 pm, by kthran   , 298 words,  
Categories: Announcements, Wellness

February Means Heart Disease Awareness

hearthands

February is all about hearts… and not just the chocolate-filled variety. This month is also dedicated to raising awareness about heart disease and increasing your knowledge about prevention.

According to the Centers for Disease Control, heart disease is the nation’s leading cause of death for both men and women. It’s estimated that 715,000 heart attacks occur in the U.S. every year, and approximately 600,000 Americans die from heart disease.

The first step to better heart health is to get your blood pressure and cholesterol checked. High blood pressure can cause hardening of the arteries and weakening of the heart muscles, leading to a stroke. Likewise, high cholesterol can cause plaque to build up in the arteries and starve the heart for oxygen – and that’s when a heart attack occurs.

If you have been diagnosed with hypertension and/or high cholesterol, MedBen Worksite Wellness can help you reduce the risk of heart disease. Through our specialty care program, an RN Health Consultant will contact you for disease-specific education and customized counseling. Our service supports the care you receive from your family physician, who can help you devise a sensible lifestyle plan… and keep your heart healthy for many years to come!

Full story »

01/31/14

  04:11:25 pm, by MedBen5   , 305 words,  
Categories: Health Plan Management

MedBen Self-Funded Services Offer Variety And Savings

We’ve been telling you a lot about MedBen’s new captive reinsurance program in recent days, and with good reason – we think it’s an ideal way for midsize and smaller employees to realize the advantages of self-funding while still reducing the inherent risk.

But the captive program is hardly the only self-funded option MedBen has to offer. We’ve been administering self-funded plans since 1989, and along the way we’ve learned a lot about how to help employers control their costs. We’ve also learned that each type and size of business has unique self-funding needs.

Larger employers benefit most from a total self-funded plan, which provides ultimate flexibility and maximum savings opportunities. MedBen enables employers to be as hands-on as they want to be, helping them to build their benefits from the ground up or putting a plan together for them.

Once a group’s plan is in place MedBen will handle its daily operations, from claims processing to customer service. Money stays with the employer until claims are paid, so it can continue to earn interest. And of course, the employer keeps any money it doesn’t spend!

In addition to the captive program, MedBen offers split self-funding for smaller groups. Split Solution is a great choice for employers with 25 employees or more who still want budgetary predictability.

Split self-funding works much like a regular health plan, with an important difference: The employer gets to keep any savings, rather than an insurance company. Plus, Split Solution’s plan design options allow employers to make benefit decisions based on their own claims history, rather than regulatory mandates.

If you’ve been thinking about making the switch to self-funding your health plan, MedBen would be happy to review your needs and share more savings advantages with you. Simply contact Vice President of Sales & Marketing Brian Fargus at bfargus@medben.com.

01/29/14

  03:10:08 pm, by MedBen5   , 217 words,  
Categories: News, Health Plan Management, Health Care Reform

MedBen Captive Program Featured In Columbus Business First

MedBen is the subject of a Columbus Business First article about the company’s new captive reinsurance program. Health care reporter Carrie Ghose spoke to MedBen President & COO Kurt Harden about the thinking behind captives, and how smaller self-funded employers can benefit from them:

“’One of the biggest frustrations employers have is that feeling of helplessness of sending their money to the insurance company, and they’re not feeling they can manage their costs,’ said [Harden].

”Smaller groups are more likely to be partially self-funded, Harden said. Their claims pool is smaller and they lean more heavily on reinsurance. With MedBen’s captive product, several clients pool their stop-loss risk and own that pool of funds as well. That means they can get rebates if there’s money left at year’s end.

”Going self-funded can help cushion some of the impacts of the Affordable Care Act, Harden said. The law’s new requirements that even out rate-setting mean that historically young and healthy groups are seeing premiums rise. Self-funded plans still reap the rewards of a favorable claims history.”

Read more at the Columbus Business First.

Employers interested in learning more about the MedBen captive reinsurance program can contact their agent or broker, or call Vice President of Sales & Marketing Brian Fargus at (888) 627-8683.

01/28/14

  12:16:00 pm, by MedBen5   , 204 words,  
Categories: News

Cold Weather No Hindrance For MedBen Services

At the MedBen home office in Newark, Ohio, temperatures outside the building reached double-digit negatives this morning, and continued sub-freezing weather is expected for the rest of the week. When the thermometer dips this low, it’s not uncommon for local power outages to occur. Fortunately, MedBen prepared for such an eventuality… and recently, our safeguards got put to the test.

Last year, MedBen replaced its old generator with a bigger and better model. Boasting 250 kilowatts of power – over twice the capacity of our previous unit – the new natural gas generator allows us to keep all internal processes operational in the event of a power disruption. Plus, all websites housed on our computer systems, including MedBen.com and MedBen Access, will remain online, so clients continue to receive around-the-clock customer service.

On January 10, we experienced a power outage in our area that lasted the better part of the day… and when the loss of power was detected, our building’s systems automatically switched over to the generator, thereby providing uninterrupted service to our clients. When power was restored, the transition was, again, seamless.

Bottom line: Regardless of how cold it gets outside, the MedBen home office will remain up and running (and warm)!

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