First few Article Sentences
Managing the financial risk of high dollar claims is one of the primary challenges of many self-funded medical plans. High dollar claims are an ever increasing percentage of total healthcare claims. At HMA, we recognize that stop-loss to protect against these claims is not a commodity that can be purchased solely based on basic contract provisions and price. There are many aspects of stop-loss coverage that need to be understood to effectively manage risk. It is important to work closely with stop-loss carriers who maintain a philosophy of providing seamless protection and strong relationships with a Third Party Administrator (TPA).