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:
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:
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:
