HMO Reinsurance Program
At Presidio, we have been providing Health Maintenance Organizations reinsurance risk solutions for nearly two decades. Our underwriting and actuarial professionals perform a custom analysis of each health plan’s risk, including contract comparison, statistical cost and utilization analysis, and historical experience analysis for catastrophic and frequency exposures. The result of this work is a risk program structure designed specifically for each client.
PROGRAM FEATURES:
- Commercial, Medicare, Medicaid, and Point of Service membership classes
- Specific Deductibles from $25,000 to $1,000,000
- Coinsurance up to 90%
- Reinsurance limits up to $5,000,000
- $10,000,000 Continuation of Benefits coverage
- Conversion coverage
- Eligible Services include: Hospital, Professional, Transitional Care, Home Health, Pharmaceuticals, and Transportation
- Alternative funding arrangements available
- HMO captive insurance company management and integration
- License Management Services
- Access to the Presidio PULSETM Medical Management Program
©2008 Presidio Reinsurance Group
