Lasering Of Medical Claims

Lasering and other drawbacks you need to know about

https://www.gninsurance.com/group-health/self-funded/understanding-stop-loss-reinsurance/

Stop loss protects an employer form being hit with a single medical bill that could wreak havoc on its health plan, reserves or even it’s ability to operate. But as employers seek to renew their stop loss coverage, reinsurance companies are lasering, or carving out, …

Industry Jargon: Lasering | Stop Loss Insurance Brokers, …

https://www.stoplossins.com/stop-loss-industry-jargon-lasering/

A laser is the practice of assigning a higher Specific deductible for an individual with a known condition that is likely to exceed the Specific deductible. It …

Demystifying Medical Stop Loss Lasers - QBE …

https://www.qbe.com/us/-/media/north%20america/pdf%20files/a-and-h-thought-leadership/71354-misc-demystifying%20lasers%20white%20paper-v2.pdf

Many lasers are attributable to issues such as cancers, kidney failure, premature births, severe injuries, and conditions requiring organ transplants. Having a network of …

Stop-Loss Insurance Services | Health

https://www.mercer.us/what-we-do/health-and-benefits/specialty-solutions/stop-loss-insurance.html

How stop-loss coverage protects you Comprehensive coverage terms Negotiated terms including multi-year rate caps and limitations on “lasering” of high-risk claimants …

Employer self-funding of employee health benefits

https://www.tdi.texas.gov/pubs/consumer/cb108.html

Got a self-funded health plan? Then be …

https://biztimes.com/got-a-self-funded-health-plan-then-be-ready-for-a-laser/

So even though you may have purchased stop-loss coverage to protect your medical plan from excessively high claims, stop-loss underwriters have the …

Self-funding: Prepare for Lasers - M3 Insurance

https://m3ins.com/self-funding-prepare-lasers/

When it comes to group health insurance plans, many companies know first hand that a self-funded approach can be an effective funding mechanism—provided they …

What Is Stop Loss Insurance? | Association …

https://www.associationhealthplans.com/ahp-help/stop-loss-insurance/

Aggregate Stop Loss - Aggregate stop loss coverage covers the medical claim expenses of all the health plan participants in a scenario where the …

'Lasers' point to potential downside of self-insuring health …

https://www.businessinsurance.com/article/99999999/news03/110809925/lasers-point-to-potential-downside-of-self-insuring-health-benefits

Lasering is a common stop-loss industry practice of setting higher coverage attachment points for certain plan members based on their prior claims experience or the …

Lasering of Shock Claims by Stop Loss Carriers - Health …

https://benefitslink.com/boards/index.php?/topic/34936-lasering-of-shock-claims-by-stop-loss-carriers/

The Medicare Secondary Payer (MSP) provisions of the Social Security Act that apply with respect to individuals entitled to Medicare based on the attainment of …