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ACO Reinsurance

U.S. Advisors has developed a new Reinsurance Program in response to the final regulations published recently by CMS for the Medicare/Medicaid ACOs At Risk Program. The program is a response to physicians' need to eliminate downside risk under the new ACO Regs for Track 2 programs and allows them to capitalize on the increased profits potential vs. Track 1.

“We recognize the unique requirements of organizations that want to participate in the ACO Shared Savings Program and their need to moderate their downside risk in an affordable fashion,” notes Terry Chesser, U.S. Advisors' Principal. “We have been tracking this issue from the draft regulations and our team has been working on the development of this new program for a number of months.”

The ACO Reinsurance Program recognizes the delayed cash flow compared to traditional health care financing mechanisms, as well as other unique aspects of the Shared Savings/At Risk Program. It is designed to protect an ACO's capital as they take risk on Medicare and/or Medicaid members.

“U.S. Advisors has studied the environment closely and believe that we have an ideal program for those ACOs who have the motivation to improve quality and efficiency, yet may not have the deepest balance sheets and would otherwise not be able to take advantage of the Track 2 profit sharing rewards,” notes Richard Polay, Principal of U.S. Advisors.

HMO Reinsurance

Provider Excess Insurance

Employer Stop Loss

Directors & Officers

Professional Liability

Rx Consulting

Capital Surplus Relief

Medical Malpractice

Captives

ACO Reinsurance

COOPs & Exchanges

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