As the U.S. healthcare payment system continues to evolve away from traditional fee-for-service and toward managed and value-based care models, addressing the exposure to financial risk that both providers and payers face is a major concern.
This risk takes many forms: in capitated contracts between physician groups and managed care organizations, the vulnerability to catastrophic medical claims by health plans and HMOs, and within the array of two-sided risk models created by the Center for Medicare and Medicaid Innovation. At Connected Risk Solutions, we deliver innovative financial risk mitigation strategies and re/insurance products to our clients across the breadth of the healthcare industry.
We support our clients’ re/insurance programs with comprehensive data management and analytics, claims administration, coverage review and premium payment/claims reimbursement processing services. These tools enable us to maximize efficiency, and to inform executive decision-making around optimal program design.
Our agents are highly specialized in cyber and tech insurance solutions and risk management programs.
We deliver specialized proposals and innovative placement methodologies, while maintaining unparalleled service.