Managed Care Network Evaluations

In the late 80’s, MRM unveiled a unique system of evaluating managed care and preferred provider organizations. In the wake of spiraling health care costs, networks have become increasingly important to the profitability of Stop Loss. Our proven method of evaluating managed care allows us to offer the most competitive discounts in the industry.

 

We believe that Stop Loss profitability is all about networks, networks, networks! MRM has analyzed over 400 networks nationwide. Each and every network has their unique strengths and weaknesses. Our expertise in this field allows us to provide consultation to clients interested in creating a more “Stop Loss Friendly” network.

 

Our summarized network evaluation results are available to insurance companies and other financial institutions. We are the recommended source for network evaluations by one of the nation’s leading actuarial consulting firms marketing a Stop Loss pricing manual. Our network evaluations are being used on well over $2 billion in annualized Stop Loss premium today. We estimate that our factors are in use on approximately 40% of the Stop Loss market!

Our article, Stop Loss & Network Discount Validation, was on the cover of the Self-Insurer.   Read it here.

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