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  04:20:00 pm, by MedBen5   , 219 words,  
Categories: Wellness, Heart, Preventive care, Primary care

Wellness Focus Cited as Reason for Drop in Heart Attacks

heart EKG

MedBen WellLiving promotes positive lifestyle changes… the very sort of changes that has led to a marked reduction in the number of older Americans dying from heart attacks.

According to HealthDay News, a Yale University study of Medicare patients revealed that hospitalizations for heart attacks dropped 38% between 1995 and 2014. Furthermore, deaths within 30 days of a heart attack reached an all-time low of 12% – a decrease of more than one-third.

"This is really amazing progress," said lead researcher Dr. Harlan Krumholz, a Professor of Cardiology. He pointed to widespread efforts to promote preventive care as contributing to the reported gains.

With its emphasis on prevention and early detection of chronic conditions, adding MedBen WellLiving to your health care plan can be an effective means of helping your employees reduce their heart attack risk. Through our primary prevention program, plan members work with their family doctors to control high blood pressure and bad cholesterol.

Plan members who are at higher risk for heart attack can also benefit from our specialty care program. We offer individualized nurse coaching to help members address coronary artery disease, hypertension and cholesterol issues.

Through primary prevention and specialty care, MedBen WellLiving can help you take a proactive approach to a healthier workplace. Find out how by contacting Vice President of Sales & Marketing Brian Farfus at 888-627-8683 or


MedBen Tops Central Ohio Businesses List

Once again, MedBen has topped the list of Largest Central Ohio Employee Benefits Companies as ranked by Columbus Business First in their February 15, 2019 issue.

Largest Central Ohio Employee Benefits Companies

"While we have clients all across the country, our roots are firmly planted in Central Ohio," said MedBen President and CEO Kurt Harden. "And because we can draw from the local talent pool, I think we've assembled a talented and innovative benefits management team."

Harden noted that over a quarter of MedBen's employees have been with the company for over two, and in some cases three, decades. "We take great pride in our stability, not only as it ensures that our clients receive quality service over the long term, but also that it reflects well on our working environment," he said.

The local element of MedBen extends to its service offerings. "Many of our most popular services have a regional underpinning, such as our community health plans and direct-to-employer contracting. Most recently, we introduced MedBen Rx Alliance, which brings together area hospitals and pharmacies to provide lower-cost drugs to qualified organizations," Harden said.

“The Rx Alliance builds on work we’ve done with our hospital clients for over a decade, and enhances our acquisition cost index pharmacy program that has saved our clients significant claim costs by cutting the hidden margins out of prescription drug benefit programs.”

MedBen is also one of the oldest companies on the list, having begun operations in May of 1938.


  10:27:00 am, by MedBen5   , 236 words,  
Categories: Wellness, Preventive care, Specialty Care, Stroke

Stroke Afflicts Young and Old Alike

stroke word collage

The recent passing of actor Luke Perry from a stroke at age 52 has placed a spotlight on a condition that is widely known of but not necessarily understood. While the majority of strokes occur in those 65 and older, in recent years they have been on the rise for younger people as well.

According to the Centers for Disease Control and Prevention, stroke is the fifth leading cause of death in the United States. Someone in the U.S. has a stroke every 40 seconds... and someone dies from it every 4 minutes. Moreover, stroke is a leading cause of serious long-term disability.

Most strokes result from a blocked artery (called an ischemic stroke) or a brain hemorrhage (a hemorrhagic stroke). Symptoms of a possible stroke include numbness of the face, arm, or leg, difficulty speaking, and sudden dizziness or headache.

As stroke risk is linked to high blood pressure, heart disease, and other chronic conditions, a focus on healthier lifestyles can help to decrease the risk. MedBen WellLiving features a specialty care program in which plan members identified with these risk factors are contacted to receive individualized and confidential nurse coaching.

Through specialty care coupled with prevention and early detection, MedBen WellLiving offers proven solutions to reduce the risk of stroke and other debilitating conditions in your employee population. Get more information about our wellness advantage by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or


  01:27:00 pm, by MedBen5   , 197 words,  
Categories: Prescription, Cost savings, MedBen Rx, MedBen Rx Advocate, MedBen Rx Alliance

All MedBen Clients Can Benefit from Rx Solutions


MedBen Rx offers employers a better way to provide and manage prescription benefits, regardless of their size or industry type. Our pharmacy solutions counter inflated prescription list prices with common-sense reimbursement methods.

  • Self-funded employers can take advantage of the MedBen Rx Advocate difference. We make your prescription program totally transparent, with no margin manipulation or arbitrary average wholesale prices. Just the real cost the pharmacy pays plus an appropriate dispensing fee. MedBen passes 100% of paid rebates back to you… and with Rx Advocate, your rebates could even be better.
  • MedBen Rx Alliance is an innovative partnership program brings together the purchasing power of hospitals to certain qualified organizations, creating savings opportunities unmatched when compared to standard PBM pricing.

Regardless of what MedBen Rx program you use, your pharmacy plan will realize lower costs. MedBen clients save, on average, 11% or more compared to traditional plans that base their prices on the average wholesale price (AWP) price of a drug.

MedBen Rx leverages its prescription and benefits management expertise to make drug coverage beneficial to customers and communities. Find out how it can benefit your business by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or


FSA/HRA Reimbursement Request Deadline is March 31

cashier receiving debit card

A few reminders for MedBen clients who offer flexible spending accounts (FSAs) and/or health reimbursement arrangements (HRAs) to their plan members:

  • For most FSA and HRA plans that have a January effective date, March 31, 2019 is the final day of the run-out period in which plan members can turn in reimbursement requests for qualified 2018 purchases. Alternately, your FSA plan may allow a "grace period" for members to spend remaining 2018 funds by March 15, but still adhere to the March 31 deadline for reimbursement requests.
  • Some FSA and HRA plans may have a different run-out period. If you need clarification about your plan's deadline, just call MedBen Customer Service at 800-297-1829.
  • Many HRAs allow remaining funds from the prior year to be rolled over for future use, while some FSAs allow up to $500 of funds to be carried over from year to year. But in either case, after March 31 plan members will no longer be able to use those funds for outstanding 2018 expenses. (Note that plans offering the FSA grace period option cannot also offer carryovers, and vice versa.)
  • Plan members who need FSA/HRA reimbursement forms can download them from the website, by clicking on the “Plan Members” button and selecting "FSA and HRA" from the "Forms" drop-down box. FSA members can also confirm whether or not a medical expense qualifies for reimbursement by selecting "IRS-Eligible Expenses" from the "Additional Resources" drop-down box.
  • Additionally, our online service site MedBen Access enables FSA/HRA plan members to keep track of their account balances, claims submissions and payments. Simply visit, select "MedBen Access" and, once logged in, click on “FSA/HRA Online Inquiry” under the “My Plan” section.

MedBen clients with additional questions regarding their FSAs or HRAs may call MedBen Customer Service at 800-297-1829.


  05:04:00 pm, by MedBen5   , 334 words,  
Categories: Wellness, Heart, Hypertension, Preventive care, Cholesterol, Primary care

The Heart of the Matter

heart hands

Extremely Important Tip: A healthy heart is essential to your well-being.

Okay, you probably already knew that. But one cannot overstate the difference a well-functioning ticker makes to your overall health. And not just physical wellness, either... chronic heart disease can also lead to anxiety or depression, and vice versa.

Each year, heart disease and stroke are responsible for an estimated 17 million deaths worldwide. In the U.S., one out of every three deaths is tied to heart disease, and nearly half of adults have some form of cardiovascular disease, including stroke, heart failure and high blood pressure.

But there is good news: Good heart health is a fairly common-sense endeavour. Eat a diet rich in fruits, vegetables and whole grains, exercise regularly, minimize stress, and get at least eight hours of sleep every night. And for you smokers out there, please don’t think that so-called “e-cigarettes” are a smart substitute for the real thing – early research suggests that vaping can also increase your risk of stroke or heart attack.

In addition to healthy lifestyle choices, your best bet for keeping your heart in the pink (red?) is to visit your family doctor every year. During your annual wellness exam, the physician will monitor your heart activity and run tests to ensure that your blood pressure and cholesterol are at heart-healthy levels.

Full story »


  11:22:00 pm, by MedBen5   , 311 words,  
Categories: Announcements, News, Health Plan Management, Client Services, MedBen University

MedBen University in Session Soon!

MedBen University logo

MedBen University (MBU) is soon to begin its 18th season! Our educational seminar series offers practical guidance about benefit planning and timely regulatory updates. Plus, you’ll have the chance to pose questions to our team of professionals and discuss coverage concepts with other self-funded employers.

MBU starts this season with three benefits management roundtables. These special sessions use data from MedBen's business blocks as a springboard for a discussion of medical and pharmacy claim trends, showing where your health care dollars are going and helping you spot opportunities to lower costs.

All three events will be held at the C. Arthur Morrow Conference Center, 1821 W. Main Street, Newark, Ohio (located next to the MedBen home office). Invitations will be mailed soon, so keep an eye out for yours!

Full story »


  03:27:00 pm, by MedBen5   , 232 words,  
Categories: Prescription, Cost savings, Transparency, Specialty Drugs, MedBen Rx, Rebates

Government Fixes to Rx Prices a Slippery Slope

Capitol building

A recent Wall Street Journal editorial warns that government efforts to address prescription drug prices could produce undesirable consequences… and it's why MedBen Rx believes that market-driven solutions are the preferable method to reducing consumer costs.

As the editorial notes, congressional efforts to pass a law allowing Medicare to "negotiate" drug prices would impose price controls that “sap the incentive to innovate." Likewise, a proposed bill to bring drug prices in line with other countries under threat of pulling patents asks drug makers “to spend years and take extraordinary risk to develop drugs, even as government could invalidate their patents on a political whim."

No one disputes that U.S. drug prices are too high, especially the specialty drugs that treat complex conditions. But overall price growth has slowed in recent years, aided by a focus on using generic alternatives... endeavors driven largely by employers and private-sector administrators. That said, there's still plenty of flexibility to further reduce costs.

MedBen Rx offers proven solutions to lower your pharmacy plan costs. Our programs take an uncommon but wholly logical approach to drug prices – namely, what your plan pays for a medication should reflect what the pharmacist pays (plus a reasonable dispensing fee).

Rather than relying on bureaucratic promises, MedBen Rx will help you pay less for prescription drugs… period. Learn more by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or

  10:14:00 am, by MedBen5   , 196 words,  
Categories: Wellness, Cancer, Research

More Men Choosing to Monitor Prostate Cancer

cancer definition

More men are opting to monitor their low-risk prostate cancer rather than getting surgery... and cancer experts say they're pleased about the trend.

According to a new study (as reported by HealthDay News), 42% of men with small, slow-growing tumors chose to monitor their condition in 2015. That's triple the number of patients from 2010 (14%).

Because removal of the prostate gland carries multiple risks, physicians have increasingly advised against surgery if the tumor poses no immediate threat to the patient’s health. "We were 'curing' a lot of men who didn't need to be cured," said Dr. Len Lichtenfeld, Chief Medical Officer of the American Cancer Society (ACS).

MedBen WellLiving currently follows ACS guidelines, which recommend that men age 50 and above (or younger, in cases of high risk) should discuss testing options with their family doctor. Decisions about testing should be based on family history, lifestyle, and symptoms. However, some WellLiving clients do encourage all male plan members of appropriate age to get tested, so be sure to check your plan's guidelines before scheduling your annual wellness exam.

MedBen clients who have any questions about current prostate cancer guidelines are welcome to contact Director of Compliance Erin Kelly at


  11:58:00 am, by MedBen5   , 197 words,  
Categories: Announcements, Cost savings, Third party administration, Claims management

Talent and Technology Combine to Reduce Claim Costs

magnified dollar

MedBen takes pride in its expert claim examiners – indeed, in our most recent audit our team received a payment accuracy rating of 99.9%. But when we receive a claim that merits further inspection, our advanced surveillance system lends a hand.

Electronic surveillance uses thousands of physician-developed algorithms that can detect claims in need of additional scrutiny. If the system flags a claim, board-certified medical specialists review it (with the client's approval) to find possible resolutions.

In 2018, MedBen surveillance measures saved clients, on average, an additional 48% per selected claim... savings produced after any applicable discounts are applied, but before claims are paid.

From a direct cost perspective, advanced claims analysis saved clients an average of $9.82 per employee per month (PEPM) in 2018. This continues a five-year trend in which surveillance realized average client savings of $9.53 PEPM from 2014 to 2018.

Again, these cost reductions come on top of savings derived from discounts as well as plan provisions and medical management. Taken together, these cost controls and other claim management strategies help MedBen clients remain under national plan spending trends.

Learn more about claims surveillance and other MedBen saving solutions by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or


  10:12:00 pm, by MedBen5   , 678 words,  
Categories: Compliance, Rescission of Coverage

Rescission of Coverage and Divorce: A Tutorial


Imagine this: An employee is divorced but does not notify his employer or provide the divorce decree until a much later date. What happens to his ex-spouse’s coverage?

In this scenario, the employer has been covering an ex-spouse and/or stepchild(ren) when they are no longer eligible. For plan purposes, the first thing that an employer (as plan administrator) needs to do is determine whether this situation is considered a rescission of coverage or a simple retroactive termination.

The Affordable Care Act (ACA) defines rescission of coverage as “the retroactive cancellation of an insurance policy” or health plan coverage when payment has already been taken for that coverage. That means that an employer is prohibited from retroactively terminating an employee or an employee’s dependent coverage, except under certain circumstances.

When is a rescission of coverage allowed? Coverage can only be rescinded due to fraud or an intentional misrepresentation of material fact. This may occur when a change of request form or divorce decree was not provided timely in an attempt to intentionally continue coverage for an ex-spouse and/or any stepchild(ren).

Let’s use this example to better understand what would happen next. In this case, once the employer is made aware of the change in marital status, a letter of rescission must be sent to the employee notifying him or her that coverage for his affected ex-spouse and/or stepchild(ren) will be rescinded.

In the letter of rescission, the employer must indicate that the affected ex-spouse and/or stepchild(ren) are no longer eligible for coverage due to the divorce as of the applicable termination date. The letter must include appeal rights that allow the employee 30 days to appeal the decision – for instance, if the employee believes there has been a mistake and that the affected ex-spouse and/or stepchild(ren) should still be eligible for coverage. The affected ex-spouse and/or stepchild(ren) must remain active with coverage during this time.

If the appeal is not completed or is denied, the affected ex-spouse and/or stepchild(ren) will then be terminated back to the date they should have been terminated in accordance with the plan language. At this point, any claims that have been processed during the time of ineligibility can be adjusted to be denied.

Full story »


  11:14:00 am, by MedBen5   , 305 words,  
Categories: News, Pharmacy benefit manager (PBM), MedBen Rx

Biggest? Nope. Best? That’s the Goal.

mergers and acquisitions word collage

High-profile health care companies continue to buy each other in an effort to be “biggest and best.” Meanwhile, MedBen continues to grow as it has for over 80 years... by providing clients with superior benefits management services.

A quick recap: Anthem Health will soon launch its own pharmacy benefit management (PBM) company called IngenioRx, in partnership with CVS Health (which is also a PBM, but separate from IngenioRx). On March 1 Anthem will end its relationship with current PBM Express Scripts... which itself was recently acquired by the health insurer Cigna. And not to be left out, CVS Health is in the process of buying health insurer Aetna. (Got that?)

Why all the wheeling and dealing? In a word, money... specifically, your money. PBMs are buying major insurers with the huge profits they earn from their clients, much of in the form of spread between what they claim to pay for a drug (the client's cost) and what they actually pay the pharmacy.

In contrast, MedBen is steadfast in its desire to remain independent. We are accountable to the needs of our clients and policyholders. The only way that we succeed is to make sure that you succeed as well, with sound benefits management solutions that help your plan members stay healthy while keeping your costs as low as possible.

Furthermore, we believe that our independence enables us to innovate and introduce new ideas more quickly. This includes our recent rollout of MedBen Rx, a pharmacy program that essentially takes PBM out of the equation by ensuring that the client pays a fair cost for medications. No spread to conceal the real price.

We may not be the biggest, but MedBen strives to be the best by helping you be your best. Learn more by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or


  12:58:00 pm, by MedBen5   , 158 words,  
Categories: Wellness, Preventive care, Primary care, MedBen WellLiving

Primary Care Emphasis Pays Dividends

doctor and patient

A new JAMA Internal Medicine study has something in common with the MedBen WellLiving program – both find that primary care serves a valuable purpose in promoting preventive care.

As reported by Healthcare Dive, study respondents with a primary care relationship were more likely to have had a wellness exam in the past year. Moreover, they received more high-value cancer screenings and preventive tests.

MedBen WellLiving's "family doctor first" emphasis puts the primary care provider in charge. Maintaining a physician-patient relationship enables the family doctor to perform wellness tests and monitor potential symptoms over an extended period, helping to prevent complications for unmanaged health conditions.

For employers, this approach has an additional benefit: It eliminates the logistical headaches and potential redundancy of on-site biometric screenings, saving them time and money.

But primary prevention is just one reason why MedBen WellLiving works for your business. Learn more by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or


  08:53:00 pm, by MedBen5   , 158 words,  
Categories: Health Care Reform, IRS, Compliance, Affordable Care Act

Despite Shutdown, ACA Reporting Deadlines Still Apply

IRS building

Following the recent government shutdown, the question has arisen, "Have the IRS filing deadlines changed for my Employer Shared Responsibility Provision reporting?" The answer, regretfully: "No."

The health coverage data you collected during 2018 must be reported to your employees on IRS Form 1095, per the Affordable Care Act (ACA), no later than March 4, 2019. You must also provide an accurate accounting of full-time employee coverage to the IRS no later than February 28, 2019 (if filing by mail) or April 1, 2019 (if filing electronically on IRS Form 1094).

Applicable Large Employers (those with 50 or more employees), or ALEs, must report using the IRS’ C-series forms, and small employers (those with fewer than 50 employees) offering coverage must report using the IRS’ B-series forms. If you need more information on these requirements, you can download MedBen’s Summary of the ACA Reporting Requirements from

MedBen clients with questions regarding this information may contact their Group Service Representative or Senior Vice President Caroline Fraker at 800-851-0907 or


  04:47:00 pm, by MedBen5   , 248 words,  
Categories: Announcements, Wellness, MedBen Employees, Mental Health, MedBen WellLiving, enCompass

MedBen Employees "Encompass" Total Health (and Time Off)

Like many of our clients, MedBen uses the WellLiving program to promote better physical health companywide. But because many of our staff fancy themselves overachievers, we've upped the ante with "enCompass" – a total wellness package to improve mind and body, and earn some well-deserved time off along the way.

Our enCompass program brings together six distinct components that contribute to one's personal wellbeing – physical, intellectual, financial, social, occupational, and emotional. Each component offers a unique set of activities, from workout classes and nutritional seminars to tax tips and meditation sessions.

enCompass partcipants

By participating in enCompass activities, MedBen employees earn points that can be used toward extra vacation time. Nearly 20% of our employees participated in the program in 2018, and over two-thirds of those participating reached a vacation benchmark.

Ed Nydegger gained the most enCompass points, and in doing so, earned an extra day-and-a-half of vacation time. Nice job, Ed!

MedBen employees who earned a full day vacation include: Robin Becker, Ashlyn Degler, Caroline Fraker, Sheri Gutridge, Janice Harris, Tammy Jones, Caroline Keaser, Erin Kelly, Becky McCune, Brenda McLean, Jackie Turner and Cathy Valentine.

Half-day vacation earners include: Abbie Brown, Cindy Dittoe, Lynette Feliciano-Justice, Bobbie Painter, Stacy Spring and Brooke Wheeler.

In 2019, MedBen will continue to promote total wellbeing with additional enCompass programming. Congratulations to every MedBen employee who earned time off or participated in enCompass!

MedBen can work with WellLiving clients to offer similar activities and incentives to expand their wellness program. For more information, contact your Group Service Representative.


  05:03:00 pm, by MedBen5   , 203 words,  
Categories: News, MedBen Employees, Kurt Harden

MedBen President Harden Praises Coworkers, Clients, County in Profile

Kurt Harden, MedBen President & CEO

"I wake up every day excited about the work I get to do,” said MedBen President & CEO Kurt Harden in a February 4 Newark (OH) Advocate article. “I get to work with incredible people on a daily basis, both employees of MedBen and clients of the company.”

Harden was profiled in the paper's "Aces of Trades" series, which spotlights Licking County residents and their jobs. A lifelong resident of Newark, he says that his nearly three decades with MedBen has truly opened his eyes to everything the area has to offer… and not just in regard to career possibilities.

“I never realized all the opportunity available inside Licking County,” Harden said. “Great quality of life and a wonderful place to raise a family. I hope more young people continue to realize this.”

Harden, who joined MedBen in 1991 and was named President in 2012, noted that his interest in health insurance coincided with a major life event: “My wife and I were about to have our first child. I needed more money and was offered a job at MedBen.”

“It was a practical decision that has developed into a complete passion,” he said.

You can read more of Harden’s profile at the Newark Advocate website.


  02:39:00 pm, by MedBen5   , 264 words,  
Categories: Prescription, Cost savings, MedBen Rx

While Titans Battle Over Drug Costs, MedBen Rx Offers Solutions

pharmacist prepping prescription

A recent high-profile disagreement between Walmart and pharmacy benefits manager (PBM) CVS Caremark exemplifies the friction between pharmacies and PBMs about prescription pricing... and the power that PBMs possess to influence drug costs. MedBen Rx was designed to put that power back in the hands of the consumer.

As The Wall Street Journal reported, Walmart threatened to withdraw from the CVS Caremark network, accusing the PBM of taking excess profits. CVS countered that Walmart's request for larger reimbursements would result in higher consumer costs. The two parties ultimately settled their differences.

Pharmaceutical Horizons President Allan Zaenger says the conflict is endemic of the balancing act that even a big box retailer must perform to ensure it can offer affordable medications to customers while still minding its bottom line. "It points to the degree to which PBM reimbursement is now causing profit pain at another big-time pharmacy retailer already taking narrow margins for prescription foot traffic," he said.

MedBen Rx pharmacy programs remove the ability of the PBM to manipulate cost margins. We place a greater focus on what a pharmacy actually pays for a drug, rather than what the PBM claims to be the "right" price. And we make certain that the pharmacy is fairly compensated for its service while reducing drug costs for our clients.

In a climate where the major players are fighting for a bigger share of your pharmacy dollars, MedBen Rx offers sensible solutions that help you keep more of your money.

Get the details by visiting or contacting Vice President of Sales & Marketing Brian Fargus at


Thinking Outside the Coverage Box

thinking man

"Think outside the box" may be an overused expression, but when it comes to health care coverage, more and more employers are taking the advice.... and MedBen has a few thoughts on the subject.

Many self-funded employers still rely on PPO plans that control costs primarily through contracted provider network discounts. While there's certainly nothing wrong with that approach, MedBen also features alternative coverage solutions that offer the same access to quality care as PPOs, but with savings that go "beyond the discount."

  • The 2018 Employee Benefits Survey found that nearly 18% of health care plans now contract directly with hospitals and physicians to reduce care costs. MedBen has been facilitating direct-to-employer contracting for the past decade, bringing together employers and providers in plans that promote effective use of regional care.
  • Reference-based pricing (RBP) plans are another outside-the-box strategy gaining popularity. MedBen offers a variety of options, such as RBPs that use Medicare as the primary source of claim repricing and layered RBPs that carve out high-cost treatments. These services can be implemented individually or in combination with each other.
  • As value-based care models gain more mainstream appeal, commercial bundled payment services are finding favor with employers. MedBen draws upon its experience with Medicare bundled payments to provide the same cost-saving benefits to clients.

Contact Vice President of Sales & Marketing Brian Fargus at to discuss what alternative coverage strategies may work best for your business.


  01:30:00 pm, by MedBen5   , 181 words,  
Categories: Cost savings, Claims management, Reference-based pricing

"The Case of the Overpriced Robot"

robotic surgery

MedBen claims management uses multiple measures to ensure that your plan pays the proper price for health care services, but at the core is our team of experienced claim examiners.

To cite one example, a plan member of a MedBen client underwent robotic hernia repair for a ventral hernia. The client was billed $310,000 for 15-minute usage of robotics – over 10 times the usual allowed amount for robotic surgery.

As part of MedBen’s claims evaluation process, an examiner reviewed the claim, noted the excessive billed amount, and paid it in accordance with the client reference-based pricing (RBP) plan language. Based on the RBP formula of a standard Medicare payment for the surgery plus a set added percentage, the provider received $60,000.

The client saved $250,000 on the billed charge for robotic hernia repair under the RBP plan. The provider accepted the payment with no “balance billing.”

MedBen combines 80 years of benefits experience with forward-looking technology to keep your health care costs as low as possible. Learn more about our claims management advantage by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or


  09:44:00 pm, by MedBen5   , 229 words,  
Categories: Wellness, Research, Preventive care

How Sleep Can Impact Your Heart Disease Risk


Getting less than six hours of sleep a night doesn't just leave you drowsy during the day – it can be doing some serious damage to your body. A new study finds that insufficient and poor sleep may increase your risk of heart disease.

The New York Times reports that researchers monitored the sleep habits of nearly 4,000 healthy men and women (average age: 46) over seven nights. After controlling for smoking, diabetes, cholesterol and other factors, they found that people who slept less than six hours were 27% more likely to be in the highest one-third for the amount of plaque in their arteries compared to those who slept seven to eight hours.

Studies like this demonstrate how small lifestyle changes – in this case, an extra hour or two of sleep – can make a big difference to your health. The MedBen WellLiving program encourages another beneficial change: Getting regular wellness exams and tests from your primary care provider.

WellLiving's "family doctor first" emphasis on primary prevention promotes awareness of your population's personal health while helping to prevent complications from unmanaged heart disease, in addition to detecting the onset of cancer and other chronic conditions.

Adding WellLiving to your health care plan is just one of the many ways MedBen can help you foster a healthier workplace. Get additional details by contacting Vice President of Sales & Marketing Brian Fargus at 888-627-8683 or

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