Watch our new video to see recent trends based on Symetra’s own stop loss claims data. This short overview illustrates how large and catastrophic claims may affect your self-funded medical plan and why stop loss protection is so essential.
Are you surprised by these trends? Let us know what you think in the comments.
I enjoyed the video showing the dramatic increase in $1 million+ claims. This trend will continue to escalate in the coming months. The market needs new ways in order to address these high dollar claims now that the lifetime maximums are no longer in place. Our organization recognized this growing trend in high dollar claims and understands these claims cannot be managed through a telephonic case management approach. We created a program called OnSIGHT Health program where we provide RN's who go onsite to interact with the patient, family and providers to better manage these claims. There is a place for traditional care management programs that address routine medical episodes. However these simple solutions are ineffective when it comes to complex catastrophic high dollar cases. These high dollar cases require a solution that brings clarity to chaos. To manager these claims in the future a new approach is necessary. The trends outlined in your video will be worse in the next 24 months unless programs such as deploying onsite nurses is implemented.
Posted by: Dwight Mankin | 11/07/2016 at 11:51 AM