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  08:12:00 pm, by MedBen5   , 286 words,  
Categories: Announcements, News, Quality, ISO, MedBen Employees

MedBen Successfully Completes Latest ISO 9001 Audit

ISO Certified logo

"The recommendation from this audit is that your certification continues," reads the results of MedBen's most recent ISO 9001 audit by SAI Global on October 4.

MedBen has successfully completed twice-yearly audits since it first achieved ISO 9001 Certification in 2005. Auditors regularly analyze such areas as performance monitoring, management review and internal audits... and in all these instances and others, MedBen continues to meet the criteria necessary to maintain certification.

In addition to reviewing common areas from one ISO audit to another, auditors will also focus on specific functions and processes. This time, the auditor’s assessments included MedBen's response to employee satisfaction and new group implementation surveys and its progress in meeting yearly quality objectives. Where appropriate, suggestions were made for ways to further improve our processes.

Ensuring that we maintain quality work processes through ISO Certification is hardly a one-and-done thing... it's a continual endeavor that requires commitment from the entire MedBen team. We appreciate all the effort our employees put in to providing clients with excellent service at every level and hope the results are evident to you. But if there's ever an issue with any aspect of your MedBen experience, please let us know and we'll do our best to address it!

ISO 9001 is a general quality management system standard that consists of principles that help ensure standardized levels of quality are applied throughout an organization. With the implementation of a quality management system using ISO 9001, a company can implement a process for continual improvement, as well as reduce inefficiencies and waste, thereby experiencing a significant cost savings, while maintaining a focus on client satisfaction.

SAI Global provides organizations around the world with information services and solutions for managing risk, achieving compliance and driving business improvement.


  10:03:00 pm, by MedBen5   , 235 words,  
Categories: Wellness, Research, Diabetes, Preventive care

Best Diabetes Treatment? Prevention

glucose meter

New research from the U.S. Centers for Disease Control and Prevention reveals that 14% of U.S. adults have diabetes… and of that percentage, 4% don't know they have the disease. An aging population factors into the number, but the rise in obesity and less active lifestyles also contribute, reports HealthDay News.

"Diabetes remains a chronic health problem in this country, affecting some 30 million people," said lead researcher Mark Eberhardt, an epidemiologist at CDC's National Center for Health Statistics. He advises people to get tested for diabetes even if they think they don't have it.

MedBen WellLiving promotes diabetes testing as a standard element of wellness exams. As the disease is linked to higher risks of heart disease and stroke, early detection can be vital to the overall well-being of the individual. Better still, yearly checkups can help prevent your plan members from developing diabetes in the first place.

For those plan members determined to be at high risk for developing diabetes, MedBen WellLiving offers individualized specialty care. Registered nurses work one-on-one with the individual to help reduce their diabetes risk through confidential counseling.

As Eberhardt notes, "Sometimes prevention is the best treatment"... and MedBen WellLiving is a valuable tool to encourage your plan members to take the proper steps toward preventing diabetes. Learn more about how we can help you achieve a healthier workplace by contacting Vice President of Sales & Marketing Brian Fargus at or 888-627-8683.


  09:25:00 pm, by MedBen5   , 348 words,  
Categories: Cost savings, Pharmacy benefit manager (PBM), MedBen Rx, MedBen Rx Advocate, MedBen Rx Alliance

MedBen Fights Back Against PBM Spread Pricing


Spread pricing is a little-discussed aspect of prescription drug pricing, but its impact on pharmacy plan costs can be huge… and it’s why MedBen has responded with new pharmacy programs designed to remove spread pricing from the cost equation altogether.

Simply stated, spread pricing represents the difference in the amount a pharmacy benefits manager (PBM) reimburses pharmacies for a drug and the amount they charge their clients, such as employer health plans. In some cases, that difference can be substantial.

A recent article provides a revealing glimpse into the effect that spread pricing has on pharmacy plan costs – particularly generic drugs, which represent almost 90 percent of all prescriptions dispensed in the U.S. "Among the generic drugs examined, pharmacies and [PBMs] on average added to the bill almost 32 percent in 2017," the article notes.

In a review of 90 of the best-selling generic drugs used by Medicaid managed-care plans, Bloomberg found the biggest markups tend to come on new generics, such as a leukemia pill in which they found spread exceeding $3,000 per prescription (see chart).

drug spread pricing sample

PBMs counter that higher spread pricing on some drugs offset money lost on others… but for clients dealing with ever-rising prescription prices, such explanations ring hollow.

When MedBen revamped its pharmacy plan design last year, we concluded that the best way to control spread pricing was to eliminate the temptation altogether. To that end, we introduced MedBen Rx Advocate, a program that avoids spread pricing by paying the average cost pharmacies pay for a drug, plus an appropriate dispensing fee. For the client, it means a fair price and no artificial mark-ups.

Alternately, qualified employers can take advantage of our new MedBen Rx Alliance program, which uses the purchasing power of hospitals to offer reduced drug prices in conjunction with local pharmacies. Again, spread pricing is taken out of the cost calculation.

MedBen helps you keep your Rx plan costs as low as possible, and removing spread pricing is just one way we do it. Learn about how our pharmacy solutions work by contacting Vice President of Sales & Marketing Brian Fargus at or (888) 627-8683.

  09:06:00 pm, by MedBen5   , 290 words,  
Categories: Wellness, Immunizations, Influenza

“Why Do I Need a Flu Shot?”

flu shot

In 2017, over 80,000 died from flu-related illnesses in the U.S., and 900,000 were hospitalized. Yet less than half of Americans get flu shots every year... some because they don't think they need it, others who say the vaccine doesn't work (or just fear "the needle").

But as Surgeon General Jerome Adams recently noted, "Flu vaccinations save lives. That's why it's so important for everyone 6 months and older to get a flu vaccine every year." shares five reasons why the naysayers should reconsider their opinion about flu shots:

  1. You are vulnerable. Young or old, you're at risk. And it isn't limited to fever and headaches, either... getting the flu may even raise your risk of having a heart attack.
  2. Getting a flu shot is your civic duty. It's bad enough getting the flu yourself. The last thing you want to do is spread it to family, friends and co-workers.
  3. You can still get the flu, but you won't be as sick. Yes, getting a flu shot isn't a 100% guarantee against getting the flu anyway. But it does reduce your risk by 40-60% and offers protection against pneumonia and other serious flu complications.
  4. Pregnant women who get the flu shot protect their babies from flu. The shot offers protection for mother and baby during pregnancy as well as after birth.
  5. You cannot get flu from the flu vaccine. That's a myth, plain and simple. You may have a sore arm and swelling after the shot, but most people come away unscathed.

If your company provides free in-house flu shots, make sure your employees are aware of the benefits. Otherwise, family doctors often offer the vaccine as part of an annual wellness exam or office visit... so encourage plan members to take advantage of it!


  05:40:00 pm, by MedBen5   , 229 words,  
Categories: Wellness, Stop-loss, Reporting, Cost savings, Self-funding

Strong Economy Adds to Self-Funding Appeal

growth progress chart

A strong economy and low unemployment contributed to an increase in employers offering health coverage in 2017, finds a new study by the Employee Benefit Research Institute. The increase halted a decade-long trend in which some companies dropped their coverage during the recession or in response to availability through insurance exchanges.

But even as coverage has risen, smaller employers continue to cite health benefits expenses as a concern and priority. Fortunately, more of these businesses are looking at self-funding as a potential means to stem the tide of rising coverage costs.

Employers with as few as 25 employees can realize savings by self-funding their health care plan... and there are numerous reasons why. Self-funding provides freedom from many costly state and federal regulations. And stop-loss carriers offer added financial protections to make self-funding even more appealing.

Best of all, with MedBen’s self-funding solutions, you’ll save more of the money you’re earning in this strong economy. We offer advanced claims surveillance and interactive reporting that allows clients to see spending trends. If you already self-fund, you can add worksite wellness and other services to your plan, which can help to reduce your coverage costs even further.

Whether you're already self-funding or considering the switch, MedBen can help your group get the most out of your health care coverage. Learn more by contacting Vice President of Sales & Marketing Brian Fargus at


  04:18:00 pm, by MedBen5   , 428 words,  
Categories: Announcements, News, MedBen Employees

MedBen Employees Celebrate Silver Anniversaries

Recently, we recognized Anita Fouch, Director of Accounting Operations, on her 30th anniversary with MedBen. But she's not the only employee celebrating a noteworthy event, as three of our team members are marking their 25th year with us in 2018... and they certainly merit special recognition! MedBen is proud of our long-time association with each one of them, and their contributions to our growth and continued success cannot be overstated.

MedBen 25th Anniversary celebrants

Arleen George actually began her MedBen career 26 years ago as a "temp" in the Claims Department... but on April 1, 1993 (yes, April Fool's Day!), she was offered a full-time position as a Submission Control Clerk. Today, as a Provider Technical Support Specialist, she works to ensure seamless service for our physician and hospital networks.

Asked for thoughts on her time with MedBen, Arleen replied that she likes the “family” atmosphere the company offers. "I have enjoyed my years with MedBen making many life-long friends," she said.

Arleen also noted how MedBen has succeeded through innovative new ideas and processes. "We're always looking for better ways to serve our clients. It is my wish that we will continue to grow and be blessed in the future," she said.

From his very first day as Public Affairs Assistant, Chuck Jindra has played a pivotal role in helping to guide MedBen's marketing direction. And now as Senior Marketing Specialist, the company's promotional efforts reflect much of his personal vision.

"MedBen has given me the freedom to put my own stamp on our marketing materials," Jindra said. "I've also been fortunate to work with some really smart people, and I've learned a lot along the way."

Chuck started at MedBen just as the Internet was taking off… and its growth redefined his responsibilities. “Nowadays, a strong social media presence is just as important as a brochure in how we present ourselves, and being part of our online growth has been very rewarding,” he said.

Throughout her 25 years with MedBen, Bobbie Painter has assisted clients in a variety of roles. Starting as an Operations Coordinator (now known as a Group Service Representative) and later Customer Service Manager, she eventually served as a Director in three areas: Administration, VisionPlus, and since 2000, Claims.

Reflecting on her MedBen experiences, Painter said she respects how the company focuses on the client first. "I appreciate MedBen’s integrity and honesty -- and not only with clients, but also with its employees," she said.

Bobbie added that MedBen's close ties to its home community of Newark, OH appeals to her: "I like working for a local company where I can make a difference."


  03:25:00 pm, by MedBen5   , 331 words,  
Categories: Wellness, Cancer, Heart, Diabetes

Fruits & Vegetables: One Dynamic Duo

eating apple

Remember when your mom insisted that you “eat your vegetables so you’ll grow up big and strong,” or packed an apple or banana with your lunch? Turns out mom was a pretty smart cookie about good nutrition!

The health benefits of a diet rich in vegetables and fruits are numerous: lower blood pressure; reduced risk of diabetes, heart disease and stroke; cancer prevention; improved vision; and better digestion. It will also have a positive effect upon your blood sugar, which will keep food cravings in check. (If you’re trying to lose weight, eat non-starchy vegetables and fruits like apples, pears, and green leafy vegetables.)

According to the U.S. Department of Agriculture, adult women should eat 2-2.5 cups of vegetables per day, and men should eat 2.5-3 cups daily – and more if you exercise over 30 minutes every day. As for fruit, most adults should eat, on average, two cups per day. Visit for specific age and portion information.

Of course, fruits and vegetables are just part of a healthy diet, so don’t neglect other necessary components of better health, such as protein, grains, and dairy. And it’s always a good idea to review your current diet with your family doctor at your annual wellness exam, to ensure that you’re meeting your specific nutrition needs.

Full story »


  04:35:00 pm, by MedBen5   , 252 words,  
Categories: Prescription, Discounts, Pharmacy benefit manager (PBM), MedBen Rx Advocate

PBMs, PSAs, and Your Pharmacy Costs

pills and prescription form

To people outside the health care industry, the role of the pharmacy benefits manager (PBM) can be a bit unclear. Simply stated, PBMs act as intermediaries between insurers (or, in the case of self-funded plans, employers), drug companies, pharmacies, and consumers. In this role, they negotiate drug prices, develop formularies, and process claims.

Not surprisingly, PBMs carry a lot of clout. As Vice News notes, the top three PBMs "influence more than 80 percent of employer-sponsored prescription drug coverage." This influence extends to how much drugs cost... and ultimately, how much you pay for them.

A PBM's negotiation power extends to discounts and rebates from drug companies -- and by holding a portion of these back, PBMs can realize substantial profits. To guard against this, MedBen has partnered with PBMs that share our belief that rebates and discounts belong to the employer. And not just "some of it" or "most of it" – 100% goes back to the client.

As a means of further reducing Rx costs, MedBen recently partnered with a pharmacy services administrator (PSA). Unlike traditional PBMs that price medications based on an inflated wholesale price, our PSA uses the true cost a pharmacy pays for a drug and adds a dispensing fee that fairly compensates the pharmacy. This "cost plus" approach better reflects the drug's actual price.

MedBen draws on multiple strategies to keep your pharmacy costs as low as possible. Learn more about how we do it by visiting or contacting Vice President of Sales & Marketing Brian Fargus at

  04:31:00 pm, by MedBen5   , 193 words,  
Categories: Wellness, Heart, Specialty Care, MedBen WellLiving

Specialty Care Helps Reduce Risk of Heart-Related Deaths

heart EKG

By taking a proactive approach to preventive care, Americans can greatly reduce the incidence of heart disease and stroke and save billions of dollars while doing so.

New data from the Centers for Disease Control and Prevention (CDC) reveals that in 2016, 80% of heart-related deaths were preventable. That year, heart disease and strokes were responsible for more than 415,000 deaths and 2.2 million hospitalizations of middle-aged Americans, at a cost of over $32 billion in related health care expenses.

Heart-related conditions are among the specific diseases and risk factors that MedBen WellLiving identifies for one-one-one intervention and management. Our Specialty Care Program contacts plan members that would benefit from specialized nurse coaching and offers customized education and counseling to help them reduce their risk of chronic (and costly) conditions.

Employers with better health records benefit from WellLiving, too. Our focus on primary prevention puts the physician first, promoting an ongoing doctor-patient relationship that spots potential conditions before they have a chance to worsen.

Wellness works best by reducing risks that lead to preventable diseases. Learn more about how MedBen WellLiving can work for your group by contacting Vice President of Sales & marketing Brian Fargus at

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

Bundled Payments: The Future of Health Care Reimbursements?

roll of $100 bills

Health care payers are continually looking for ways to reduce medical spending. One idea that has gained traction in recent years is the bundled payment system, in which a provider is paid for a complete episode of care, rather than paid separately for the various services that make up that episode.

For the payer, bundled payments reduce total spending by eliminating treatment redundancies and inefficiencies. But in switching from traditional fee-for-service to a value-based approach, providers can also see financial rewards, by reducing their service costs through a focus on quality care.

Medicare has been a high-profile proponent of bundled payments, testing both voluntary and mandatory provider models. In 2015, MedBen introduced MedBen Analytics, a bundled payment reporting platform that converts Medicare data into actionable insights.

MedBen also offers commercial bundled payment services to clients. As health care systems become more comfortable with the value-based model, MedBen expects it to become the norm for employer claim payments. Self-funded plans will realize lower costs without compromising quality of care.

In addition to bundled payment services, MedBen offers a variety of alternative cost-saving strategies, such as direct-to-employer contracting and reference-based pricing. Contact Vice President of Sales & Marketing Brian Fargus at to discuss what strategies may work best for your business.


  07:27:00 pm, by MedBen5   , 293 words,  
Categories: Announcements, News, MedBen Employees

Fouch Among MedBen Employees Celebrating Benchmark Anniversaries

Anita Fouch

At an employee appreciation luncheon on September 14, MedBen employees who have reached noteworthy anniversaries were honored for their achievements... among them, Director of Accounting Operations Anita Fouch, who has served our clients for an impressive 30 years.

Anita worked her way up at MedBen, starting in 1988 as company receptionist. She later performed various jobs in the Administration and Billing Departments before becoming an Accounting Manager in 2004. She was named a Director in 2012.

Asked after the event what she enjoyed most about working at MedBen, Fouch replied that she appreciates the company's work ethic and family values. "MedBen recognizes everyone on a personal level, providing a great support system for me as an employee and as a parent,” she said.

Fouch added that she also likes the employee camaraderie at MedBen, which stems from its stable work environment. "I still love to get up in the morning and come do my job, while enjoying the company of the great co-workers and friends that I have the opportunity to work with every day," she said. "I’m very blessed."

MedBen 25th Anniversary celebrants

In addition to Anita's 30-year benchmark, three MedBen employees were singled out for their 25 years of service to MedBen. These include (in alphabetical order):

  • Arleen George, Provider Tech Support Specialist I;
  • Chuck Jindra, Senior Marketing Specialist; and
  • Bobbie Painter, Director of Claims.

(More about our 25th Anniversary celebrants soon!)

Other MedBen employees honored at the luncheon include:

  • 20 Years of Service: Tammy Jones, Tina Peck, Billie Rotert, Char Schaffner, Michelle Schmus, Kelly Stare and Tessie Young.
  • 15 Years of Service: Dan Bednar, Wendell Crain, Dru Ann Drake and Jeanne Olsen.
  • 10 Years of Service: Jennifer Baughman.
  • 5 Years of Service: Katie Dunn, Kim Dunn, Jessica Moore, Lori Phillis and Katrina Wilson.

Congratulations to everyone celebrating a benchmark anniversary with MedBen this year!


“New” Drug Pricing Tools? Not for MedBen

pharmacist prepping prescriptions

A Managed Healthcare Executive article spotlights "New Drug Pricing Tools" that could save patients and health plans money -- among them, a recently launched "real-time benefits tool" that shows out-of-pocket costs for medications based on a patient's plan benefits. Sound like a great idea... which is why MedBen has already offered it for years.

Our online MedBen Access service provides pricing transparency by allowing plan members to find the costs and copays of specific drugs, as well as costs and copays for any generic and therapeutic alternatives in the drug class. In the case of high-price medications, they can see substantial savings.

In addition to cost checks, MedBen Access allows members to review their prescription purchases and get detailed medication information. To use these features, just go to and click on "MedBen Access." Once you've logged in, select "My Rx Claims."

Pricing transparency is just one way that MedBen helps clients reduce their pharmacy plan costs. We now offer two innovative saving solutions: Rx Advocate, which bases pricing on the average actual costs that pharmacists pay for drugs; and Rx Alliance, which brings together hospitals and pharmacies to offer substantially lower drug pricing for qualified employers. Visit to learn more.

Learn more about MedBen Rx pricing tools by contacting Vice President of Sales & Marketing Brian Fargus at


  06:41:00 pm, by MedBen5   , 241 words,  
Categories: Wellness, Reporting, Cost savings, Preventive care, Primary care

Why the Right Wellness Approach Matters

doctor and patient

A recent wellness study confirms something that MedBen has known for a long time: If you want your workplace wellness program to succeed, the "physician first" approach is the way to go.

According to BPS Research Digest, researchers analyzed a university’s wellness program that used on-site biometric screenings and health risk assessments (HRAs) to track member health. After one year, the study compared the health of the program participants to that of a control group... and not surprisingly, found little difference between the two.

But really, MedBen could have saved the researchers the trouble. When we introduced a wellness program a decade ago, we learned early on that the on-site biometric screening is an ineffective means of promoting better health, as it lacks the ongoing doctor-patient dynamic. And self-reported HRAs in which respondents often exaggerate or falsify their health status contribute little.

MedBen WellLiving subscribes to the "physician first" approach because we have found that maintaining the doctor-patient relationship is key to continued good health and lower care costs. But we also understand that employers expect viable results from their wellness program, so we measure wellness success using multiple factors, such as member compliance with recommended tests. We analyze the numbers with our wellness clients on a regular basis to ensure that the program is fulfilling expectations.

Learn more about the MedBen WellLiving approach to your employees' better health by contacting Vice President of Sales & Marketing Brian Fargus at

  06:27:00 pm, by MedBen5   , 131 words,  
Categories: Announcements, Online Services, MedBen Employees

MedBen Closing Early on September 14

MedBen building

On Friday, September 14, MedBen will be closing at 12:30 p.m. EST for a company employee recognition event. We will reopen at 8:00 a.m. EST on Monday, September 17.

At the event, MedBen will pay tribute to employees who are celebrating benchmark anniversaries with MedBen... including several who have now been with us for 25, and even 30, years! (More about that soon.)

Remember that even when live service representatives aren't available, many of your questions (including those pertaining to prescription plans, FSAs and HRAs) can be answered anytime, anywhere through our MedBen Access website.

Also keep in mind that offers resources frequently requested by customers, such as a list of FSA-eligible expenses and instructions for reading EOBs. Just select the "Plan Sponsors" or "Plan Members" button on the home page, depending on your specific needs.

  06:22:00 pm, by MedBen5   , 212 words,  
Categories: Wellness, Cancer, Heart, Diabetes, MedBen Employees

MedBen Takes a Stand Against Sitting

stand-up desk

Computers, tablets, and smartphones have certainly made life easier, but it's also made us more sedentary... and all that idle activity isn't helping our collective health.

Sitting for prolonged periods of time increases your risk of heart disease, diabetes, and cancer, says David Alter, MD, Ph.D, a heart expert from the University of Toronto. And while regular exercise helps alleviate the danger somewhat, it's just as critical to get out of your seat for longer periods.

To assist employees wanting to lower their risk of chronic conditions, MedBen now provides stand-up desks on request. According to Dr. Alter, the target is to decrease sedentary time by two to three hours in a 12-hour day.

MedBen also encourages regular breaks away from the computer. Our company's personal well-being program offers simple stretching and light weight activities that employees can perform at their desk, with the added incentive of earning extra vacation time.

Of course, preventive care is vital for reducing medical risk. The perfect complement to exercise and smart work habits is an annual wellness exam, and MedBen WellLiving can help your business promote better employee health. To learn more about our wellness program and wellness incentives, we invite you to contact our Vice President of Sales & Marketing Brian Fargus at


  06:59:00 pm, by MedBen5   , 178 words,  
Categories: Flexible spending accounts (FSAs), Debit cards, Health reimbursement arrangements (HRAs)

MedBen FSA/HRA Debit Card Gets a Makeover

MedBen FSA-HRA Debit Card

The MedBen FSA/HRA debit card is getting a new look! The color has changed from red to blue and now sports a “cloud” logo in the upper left corner.

So when can you expect to get your new card? If you’re a new FSA/HRA client or new enrollee who hasn’t received your debit cards yet, expect to receive your “blue” cards soon. (Plan participants will each receive two cards.) Current FSA/HRA cardholders will receive replacement cards when the “Good Thru” date on their current card approaches, or if they lose their card and/or request a replacement.

To activate your new card, simply follow the instructions on the activation sticker, located on the front of the card.

Remember, your MedBen FSA/HRA debit card is a convenient way to pay for qualified health care expenses. Just use it as you would a regular debit card, to pay for eligible medical care, goods, and services at providers and merchants that accept Visa cards.

If you have any questions about your MedBen debit card, please contact MedBen Customer Service at (800) 297-1829 or


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

Direct-to-Employer Contracting Nothing New for MedBen

signing contract

A recent article opined upon the growing trend of employers contracting directly with health care providers. Such relationships, author Max Nisen notes, save employers money by giving them "a greater degree of control and flexibility in how they manage health-care costs."

But at MedBen, such relationships are hardly a new phenomenon... in fact, we have been facilitating direct-to-employer contracting for nearly a decade. Our various direct-to-employer strategies have brought together area businesses and hospitals, in designs that promotes the use of quality local care at a lower cost.

Most recently, MedBen has contracted with multiple health systems to accept reference-based pricing (RBP) plans. By using these providers, employers and plan members pay for medical services based on the true cost of care. And providers receive a fair and fast payment, so everyone benefits.

Direct-to-employer contracting is just one of the ways that MedBen can help clients save money on their health care. To learn more about it and other benefits management solutions, contact Vice President of Sales & Marketing Brian Fargus at

We're Closed Labor Day, But Online Services Stay Open

U.S. flag

Happy Labor Day from MedBen…we hope everyone enjoys the three-day weekend and sends out the summer on a high note!

We’ll be closed on Monday, September 3 to celebrate the holiday and will reopen at 8:00 a.m. on Tuesday, September 4. Hopefully, health care benefits won’t be a priority on Labor Day… but should you have a burning question, we invite you to take advantage of the variety of online customer services available at our MedBen Access website.

If your group offers an FSA or HRA option, we’d like to point you to a particularly useful feature of the site. By clicking on “FSA/HRA Online Inquiry,” you can look at your most recent claim submissions, review payments issued, see your total deposits posted to date and get answers to a whole host of questions.

Hard though it may be to believe, 2014 is two-thirds of the way over… so if you’ve got an FSA, you may want to consider making plans for spending the remaining funds in your account before your plan’s established deadline (usually December 31). Check MedBen Access to see what you’ve got left, then head over to the IRS-Eligible Expenses page on to research ways of using those unallocated dollars!

  05:42:00 pm, by MedBen5   , 162 words,  
Categories: Cost savings, Reference-based pricing, Dialysis

Costly Dialysis Legislation Should Spark Plan Language Change

kidney dialysis

If you've been on the fence about having MedBen help you implement proprietary health plan language for dialysis services, now is the time to act.

The American Journal of Managed Care reports that recent House of Representatives legislation includes a provision that would extend the Medicare end-stage renal disease (ESRD) waiting period an additional 3 months (to 33) before Medicare becomes primary payor. For employer health plans, this represents hundreds of millions of dollars more in added costs.

However, by implementing proprietary dialysis health plan language, employers can realize a substantial savings on the procedure. One MedBen client who amended their plan reported that their dialysis costs fell by 80%.

If you're a MedBen client who would like more information about adding MedBen’s proprietary dialysis plan language to your plan, contact Vice President of Compliance Caroline Fraker at (800) 851-0907 or Or you're interested in learning more about other benefits management solutions available through MedBen, contact Vice President of Sales & Marketing Brian Fargus at

MedBen Rx: Lessons in Savings and Transparency

prescription drugs

A recent headline refers to U.S. prescription drug pricing practices as "Lessons in Obfuscation." Unlike most products that have clearly defined prices, prescription drugs start with an acquisition cost paid by the pharmacy, which it then inflates and negotiates down with a pharmacy benefit manager. The result: Drug prices that can vary widely from one health plan to another.

MedBen prefers a drug pricing approach with a lot less guesswork, which is why we now offer pharmacy solutions through MedBen Rx. We've developed two unique programs with one common purpose: To provide clients with reduced drug costs and complete transparency.

MedBen Rx Advocate turns the standard list-price negotiation scenario around by using the average actual cost that the pharmacist pays for a drug and adding a reasonable dispensing fee. The pricing starts low and stays there.

MedBen Rx Alliance uses hospital purchasing power to offer substantially lower drug pricing for qualified employers through local pharmacies. It's a community partnership in which every participant benefits.

The article also states that, in regard to drug rebates, "what amount ultimately [gets] passed through to the end-user remains a carefully guarded trade secret." But again, that's not the case with MedBen Rx: 100% of paid rebates go back to the client. Total transparency.

Find out more about MedBen Rx pharmacy solutions by visiting or by contacting Vice President of Sales & Marketing Brian Fargus at

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