National Risk Advisors

Linking Risk + Reinsurance + Actuarial For Best Results

In today’s ever challenging healthcare world of more and more risk, uneven coverage, and escalating premium costs, we want to provide some level of certainty, stability and confidence to entities assuming increasing amounts of medical cost risks.

“At-Risk” contracting models can lead to unpredictable and costly catastrophic medical claims to your profits. Thus, firms may experience financial performance disruption and strain the solvency of risk-bearing entities without the proper Reinsurance Program. Unknown risk and unintended financial consequences arise due to extreme Out-of-Network claims, astronomical Cell & Gene Therapy costs, inappropriate micro-skin usage, escalating RX costs or severe Transplant costs to mention a few.

Actuarial Risk
Assessment
Cycle
Risk Assessment & Assumptions
Assumptions, methods and strategies are defined.
Data Collection & Projections
Projection of results and analysis.
Systematic Monitoring
Performance monitoring.
Data Driven Analytics
Comparison of actual and expected results.
Reporting for Better Management
Deviation reporting.
Implement Strategies Based On Data
Setting risk limits.

Data Drives Decisions & Data Is King – We Serve You Through Data: In our reinsurance analysis we do not rely on assumptions or interpretation without having the data. We let math make the proper calculation to prevent faulty thinking, conclusions and misreads. We believe that data will lead us to the proper risk evaluation/assessment and response since “data is king” and is seldom wrong. As data pours in we’re better positioned to solve the risk problem. We follow your data and let the data “tell your story.”

To have the best Reinsurance Program possible, we follow and focus on data as a math equation. This allows us to see trends and driving risk factors proactively that we might not ordinarily see or put value on. This in-depth view, from all angles, allows us to dig deeper and count, measure and consider everything possible that can influence risk results and ultimately reinsurance cost. Thus, we ascribe to the philosophy of “measuring twice, cut once.”

Without data, one is left to navigate haphazardly and guess on how to best manage, control and reduce risk. We don’t guess! Since no two clients are the same, we look at the total picture and all the little things unique to each client. We examine and construct risk solutions on how to improve their financial results. Over the years, clients have come to rely on our many years in the healthcare industry. This commitment to helping our clients has taught us that we don’t have experience because we’re old, we are old because we are experienced.

Like A Physician: Much like a physician, we follow the diagnostics/lab work to determine how best to treat the patient. This approach allows us to diagnosis a client’s risk and recommend risk solutions tailored for each individual client’s best risk strategy to create “best value”. Like a doctor, we do not draw any conclusions but let the data lead us in the right direction for the best treatment plan and diagnosis. You receive a combination of reinsurance options to save and manage money derived from a proactive Reinsurance Program.

Linking Risk + Actuary + Reinsurance for Financial Reinsurance Solutions: “What ifs” always exist but the goal is to keep them at a manageable or acceptable level. Thus, uncertainty doesn’t have to mean anxiety with the proper thinking and risk solutions. With the right risk/reinsurance models firms can take on anything except for the “buts” that cause catastrophic risk events that when left unmanaged can hurt a firm and destroy their continued viability. In other words, what “buts” do you have that you may not be aware of or unknown that left uncorrected can cause unintended financial consequences beyond repair and reversal. This is where having a Risk/Reinsurance Evaluation returns untold value.

Our actuarial data/sabermetrics analysis uses your historical data and industry data to form a risk assessment picture on a “Net Cost Basis” in making risk decisions. This is unparalleled in the industry and affords firms a unique opportunity to detect hidden gaps and deficiencies for broader and assured protection at a cost-efficient cost using the client’s data.

As a national leader in Managed Care Reinsurance for decades, especially in Florida, we have linked the client’s data (MSOs/IPA, HMOs, Hospitals, etc.) employing actuarial analytics to drive and improve risk decisions. These insights and financial results are delivered using a unique combination of risk/reinsurance strategies linked with actuarial analysis (analytics/sabermetrics) to deliver efficient risk cost solutions in a meaningful and impactful model. Our approach is seamless, coordinated, and uniform since we are committed to serving you first using advanced actuarial principles as confirmation. Clients receive our “risk free” model combined with financial reinsurance to create cost-efficient financial risk solutions to better control, strategize, plan and manage risk that is already on their books.

Unique One-of-A-Kind Advice & Analytics Under One Roof: National Risk Advisors (NRA) offers a Unique One-of-A-Kind solution unlike any other risk advisory/consultancy firm in the reinsurance marketplace.

We believe you will find within NRA the needed commitment, acumen, and attention to detail to deal effectively with your risk in a creative and proactive manner. Our approach is a unique combination of risk/reinsurance strategies linked with actuarial sabermetrics to deliver risk/cost financial solutions cost efficiently for optimal results. This contributes to maximum risk protection while consistent with your budget, risk appetite and operations.

NRA’s risk solutions and actuarial advice is unavailable from any other risk advisory firm. Our Risk/Reinsurance is linked to Actuarial Data all in-house and under one umbrella. This seamless and coordinated risk assessment program affords clients with the insights and perspective to manage their Reinsurance Program for maximum protection, minimum cost and increased success/profits.

Available Risk Solutions: Solutions are specifically tailored to our clients’ risk/benefit needs, risk appetite, budget and risk tolerance levels.

Provider Excess Coverage (including ACO Reach and KCC participants) – As healthcare continues to shift away from Fee-For-Service payment structures and towards value-based financial arrangements providers can protect their profits using financial reinsurance. This shields healthcare providers from the financial burden and risks associated with capitation and other payment structures. It is available for hospitals, healthcare facilities, and capitated at-risk medical groups.

HMO Reinsurance – Protection extends to managed care firms against exorbitantly expensive medical claims causing unexpectedly and unintended high claim costs. Programs are customized for Health Maintenance Organizations (HMOs), Account Care Organizations (ACOs), and Managed Care Organizations assuming risk.

Employer Stop Loss – Protects self-funded employers from potential catastrophic or higher-than-expected aggregate medical claims. Flexible endorsement options to address challenges, such as cell and gene therapies, advanced funding accommodations, and innovative network situations, are available. It is available for Employer Groups, Group Captives, and other eligible entities.

How Does NRA Serve Their Clients: We deliver the required level of Reinsurance services and professional advice to our clients on a “Full Circle of Advice” basis. Our goal is to deliver the highest quality of thinking, advice, and service in meeting your unique needs on a day-to-day basis. We also function as your “trusted partner” and in-house risk department to best meet your goals and objectives through a measurable action plan. Additionally, you have the expected resources and experience of reinsurance executives as respected industry leaders dedicated solely to the Managed Care Industry since 1984.

Why are Clients Loyal

Clients do not seek to change reinsurance brokers unless they are given little choice. Even when frustrated, clients often avoid change and it's easy to understand why.

Making Reinsurance Pay - Value/Cost Analysis Using Net Cost

NRA has linked Risk + Reinsurance + Actuarial Science to offer a Unique One-of-A-Kind solution unlike any other risk advisory/consultancy firm in the reinsurance marketplace.

Full Circle of Advice

Our clients receive National Risk Advisors’ Full Circle of Advice to help them better manage their risk while achieving the optimum cost and coverage associated with their identified risk.