{"id":1086,"date":"2025-11-14T15:20:46","date_gmt":"2025-11-14T15:20:46","guid":{"rendered":"https:\/\/novacoremuldev.wpengine.com\/carbon\/?page_id=1086"},"modified":"2025-12-09T03:42:25","modified_gmt":"2025-12-09T03:42:25","slug":"managed-care","status":"publish","type":"page","link":"https:\/\/novacore.com\/carbon\/managed-care\/","title":{"rendered":"Managed care"},"content":{"rendered":"\n
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Managed care<\/h1>\n

Best-in-class solutions for the health reinsurance market<\/span><\/h2>\n <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n
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Carbon Stop Loss Solutions is the industry authority on managed care reinsurance. Our highly experienced team of managed care advisors have a proven track record of helping HMOs, physician groups and other healthcare providers manage medical risk and contain costs.<\/p> <\/div>\n<\/div>\n <\/div>\n <\/div>\n <\/div>\n

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Managed care reinsurance services<\/h2> <\/div>\n<\/div>\n
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\n HMO reinsurance <\/h3>\n
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Excess of loss reinsurance for health plans and health maintenance organizations (HMOs) throughout the U.S. and U.S. territories, including commercial, Medicare and Medicaid regional health plans as well as large national organizations operating regional plans in multiple states<\/p>\n

Coverage includes Continuation of Coverage in the event of plan insolvency when required by state regulation.<\/p> <\/div>\n <\/div>\n<\/div>\n\n <\/div>\n

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\n Provider excess\u00a0 <\/h3>\n
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Excess of loss insurance for healthcare providers such as hospitals, hospital systems, physician groups, accountable care organizations and other healthcare providers who have assumed medical risk by entering into risk-bearing contracts with HMOs, health plans, managed care organizations, insurers, state Medicaid programs, CMS for Medicare programs or self-funded employer groups<\/p> <\/div>\n <\/div>\n<\/div>\n\n <\/div>\n <\/div>\n

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\n Medical reinsurance <\/h3>\n
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Excess of loss reinsurance for regional health insurance companies, captive insurance companies and risk retention groups throughout the U.S., U.S. territories and other offshore locations<\/p>\n

Covered underlying products can include, but are not limited to, first dollar medical (commercial or Medicare), exchange, limited benefit, short-term medical and organ transplant. Coverage is available on a period certain or risks attaching basis.<\/p> <\/div>\n <\/div>\n<\/div>\n\n <\/div>\n

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\n Client captive programs <\/h3>\n
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Risk participation programs utilizing client captive insurance companies<\/p>\n

Services include client risk sharing evaluation\/structure, pricing and ceded reinsurance claim administration.<\/p> <\/div>\n <\/div>\n<\/div>\n\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n

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\n \n Program highlights <\/span>\n\n \n \n <\/span>\n <\/h2>\n<\/div>\n\n
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