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Stop Loss Coverage

Home Stop Loss Coverage

Healthcare Provider “Stop Loss” Insurance

Stop Loss insurance protects healthcare organizations from the financial risk assumed by the provider for the cost of providing medical services to Managed Care patients.

Specifically, “Stop Loss” insurance provides P&L financial stability for unpredictable or catastrophic claims including:

  • NICU Claims
  • Transplants
  • Care for Chronic Cases (CHF, COPD, Diabetes)
  • Chemotherapy

HMO Re-Insurance
Provider Excess of Loss
Value Added Services Available from Insurance Carriers (prior negotiation required)
HMO Re-Insurance

Re-insurance product for entities such as HMOs, PPOs, and other Managed Care Organizations – that are licensed as insurers, that retain some financial risk associated with providing medical services to a defined population.  Applicable entities include:

  • Medicare Advantage Programs

Provider Excess of Loss

Insurance product for healthcare providers that have agreed to assume a portion of the financial risk associated with providing medical services to a defined population through either capitation or another form of “risk-based contracting”.  Applicable entities include:

  • Hospitals
  • IPAs
  • PHOs
  • Medical Groups
  • ACOs / CCOs
  • PACE Programs

Value Added Services Available from Insurance Carriers (prior negotiation required)
  • Access to Transplant Networks
  • Case Management Services
  • Bill Audit / Review Services
  • Supplemental PPO Networks w/ Supplemental Contract Negotiations
  • Specialty Pharmacy Management & Network

Call us today at  800.240.2448  or Email us at mail@chivaroli.com

Contact Us

Chivaroli and Associates Insurance Services is a full-service brokerage firm specializing in the custom-design and placement of insurance and alternative risk funding solutions for your healthcare organization.

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Address:
200 North Westlake Blvd., Suite 101
Westlake Village, CA 91362
Phone:
805-371-3680
E-mail:
mail@chivarolitr.wpengine.com

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