Articles

New Trend in Managed Care

As leading brokers in Capitation Provider Stop-Loss for 34 years, we at McPhee & Associates regularly stay in touch with medical groups, hospitals, and health systems.  We are always interested in the trends in managed care as it relates to capitation.  This year...

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Managed Care Errors & Omissions vs. Medical Malpractice

Managed Care Errors & Omissions vs. Medical Malpractice There have been confusions about medical malpractice and managed care errors & omissions coverage. We have often heard from medical organizations that they do not need managed care errors & omissions...

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CMS Ruling—A Problem for Providers

CMS is enforcing the stop-loss deductible limits. Therefore this means higher premiums for providers. We have been following this issue in the industry and directly with our clients.  Because of this we recommend you check the CMS ruling.  We helped our clients by...

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How to Choose a Provider Excess Loss/Stop-Loss Broker

HMOs began capitating medical groups and physician groups in the 1980s. Due to this, that is when Capitated Provider Excess Loss or Provider Stop-Loss coverage came into being. The coverage offered was limited and overpriced and it was provided to the providers ONLY...

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Provider Excess Loss—How to get your claims paid

The key point in getting your claims paid is understanding the wording in your policy. Why is it important to understand the wording in your policy?  For the simple reason that, it can affect how, if, or how much reimbursement you receive from your stop-loss claims....

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Steps to help prevent a ransomware attack

The recent cyber-attack at the Hollywood Presbyterian Medical Center has created worry for other healthcare institutions.  Their computer system was literally held hostage by a malicious software called ransomware.  How it works; your information is encrypted and held...

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Biggest Misconceptions about Cyber Security and Data Breaches

Data Privacy and Network Security is only a problem for large companies. While we are only made aware of large security breaches affecting big companies, data privacy and network security is a concern for any size of organization especially healthcare organizations....

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