The advances in medical technology, coupled with spiraling medical inflation have resulted in healthcare costs that are more unpredictable than ever. Health Maintenance Organizations (HMOs) and healthcare providers operating under capitated contracts need to protect themselves from this uncertainty. OneBeacon has responded with capitated healthcare provider excess of loss insurance and HMO reinsurance products. These carefully designed products can smooth revenue and minimize the financial impact of catastrophic medical events.

OneBeacon solutions offer many advantages, including the following:

• Limits and retentions at the specific member level
• Facility and professional services insured under one policy
• Commercial, Medicare and Medicaid populations insured under a single policy
• Wide range of reimbursement methodologies
• Continuation of benefits in the event of HMO insolvency
• Access to a nationwide network of organ transplant hospitals
• Access to specialized case management for high-cost services including neonatal care, cardiac care and organ transplant

Download Provider Excess/HMO Reinsurance applications and policies

Please refer to the actual policy for exact coverage descriptions; exclusions and deductibles may apply. Coverages are subject to policy terms and conditions and may not be available in all states.