Relentless Health Value EP479: What Could Go Wrong Covering High-Cost Claimants With Stop-Loss Reinsurance? With Andreas Mang and Jon Camire
Jun 12, 2025
Join Jon Camire, Managing Director and CFO at Equity Healthcare, and Andreas Mang, Senior Managing Director at Blackstone, as they delve into the complexities of stop-loss reinsurance for high-cost claimants. They discuss best practices for avoiding overpayment, the necessity of thorough contract reviews, and the significance of engaging expert brokers. The conversation highlights vital considerations for plan sponsors, including eligibility audits and financial risks, ensuring a comprehensive strategy to manage healthcare coverage effectively.
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Get Multiple Stop-Loss Quotes Annually
- Always get multiple stop-loss insurance quotes yearly to understand market options.
- Avoid choosing solely based on price to prevent coverage gaps and regrets during claims.
Premature Baby Highlights Coverage Risks
- A company chose a 12-15 month stop-loss policy but faced risk from a premature baby born late in year.
- Claims after the 3-month runout would not be covered, posing catastrophic exposure.
Insurance Navigates Uncertainty
- Insurance balances risk by navigating uncertainty to reduce catastrophic exposure.
- Experience in consulting is crucial to structure coverage adequately.