National Risk Advisors

About Us

Our motto has always been simple:
"Excellence in Risk and Reinsurance Solutions"

We know what you need to make a sound choice in your Managed Care and Insurance needs.

Our Purpose: We aim to deliver the highest level of advice and counsel so our clients can make informed choices/decisions, remain competitive, and execute creative strategies to better manage and position their business in the dynamic and changing world of healthcare and managed care. This involves measuring risk, correctly understanding and interpreting risk goals, and constructing viable risk/reinsurance strategies and financial risk solutions.

Headquarters: Based in Nashville, Tennessee (Healthcare USA ) with over 300 domiciled health firms we serve clients nationally. Our experience as a reinsurance intermediary over three (3) decades allows us to execute client results. National Risk Advisors, LLC (NRA) is an independently owned and operated firm dedicated exclusively to the Managed Care Industry and the interests of our clients.

Clients Served: Over the decades we are privileged to serve clients (Commercial, Medicare, Medicaid) in industries for Managed Care Reinsurance/Insurance, Surety Bonds, Property/Casualty, D&O/E&O, Cyber, and Employee Benefits.
Industry clients include HMOs, MSOs/IPAs (capitated), Employers including unions, ACOs, PSNs, CINs, PACE, DCEs, Bundeled Payments, Insurance Exchanges, State Programs, RX, and Shared Savings Risk.

4+ milions

Reinsurance Experience with Over 4,000,000 lives reinsured historically

3+ decades

Working in the Managed Care Industry since 1984

12 times 1st

We’ve made history by being the first to deliver key innovations in Managed Care

We are dedicated exclusively to the Managed Care Industry and reinsurance is our only business. Our reinsurance experience will help senior management make the most informed reinsurance decisions relative to the purchase and scope of coverage. We believe our dedication and qualifications underscores the advice you can expect from NRA.

• At genesis of Managed Care Reinsurance with Experience in working with the Managed Care Industry since 1984.
• Unique understanding and perspective of the risk and financial needs of clients
• Specialized knowledge as former reinsurers/underwriters relative to the underwriting, pricing and policy language since we were former reinsurers
• Understanding of the flexibility, pricing mechanisms, services various policy forms and coverages available from reinsurers since we represent reinsurers as a broker
• Industry speeches to state HMO associations, Managed Care Law Conference and AHIP
• Involved with some of the first Capitation Reinsurance contracts for providers nationally in 1991
• Professional designations
• Dedicated solely to the Managed Care Industry


• Reinsurance Experience with Over 4,000,000 lives reinsured historically
• Experience in working in the industry for over 3 decades
• Expertise as former reinsurers with professional designations
• National Coast-to-Coast Service
• Linked Risk + Reinsurance + Actuarial from NRA for Stellar Risk/Reinsurance Results

• 1st Insolvency of HMO Case in Florida
• 1st Managed Care MGU – 1990
• 1st MSO Capitation Offering – 1990
• 1st Consortium HMO Reinsurance Program
• Helped develop 1st National Transplant Network – 1985
• 1st Managed Care D&O/E&O Program – 1984
• 1st Experience Refund Program
• 1st Retro Rated Reinsurance Program
• 1st ACO Reinsurance Guarantee – 2012
• 1st MSO Capitation Captive – 2014
• 1st Endorsed Association Program for No Premium Life Insurance
• 1st Independent GAP/Mini-Med Layer for Smaller Capitated Providers vs. the HMO’s Reinsurance

Behind every resilient healthcare organization is a foundation of strategic risk protection — we help build that foundation

Our mission is to seek, serve, advance and protect the best interests of our clients nationally with a commitment to honesty, integrity, truthfulness and responsiveness.

Our purpose is to deliver the highest level of advice and counsel so our clients can make informed choices/decisions, remain competitive, and execute creative strategies to better manage and position their business in the dynamic and changing world of healthcare and managed care.

We seek to impart our knowledge and experience to best protect and represent our clients based on a true partnership relationship that is built on respect and trust. We will craft, design and deliver insightful insurance and reinsurance solutions consistent with our client’s goals, vision, strategies and financial objectives.

We seek to educate, enlighten, and empower our clients for greater success in managing risk.

Our firm is rooted in serving clients through our words and actions as their advocate and trusted advisor.

Our vision at National Risk Advisors is to be the very best, most innovative and progressive Reinsurance intermediary in the U.S., building trust and relationships with our clients while adding value, risk protection and cost savings for their long-term benefit. Our goal is to save our clients money or make them money using advanced “money-ball” techniques, analytics and sabermetrics.

We believe vision matters and it’s important to see beyond today to develop tomorrow’s breakthroughs. We help advance your vision by leveraging the power of data, analytics, actuarial and technology by delivering results. We will strive to sharpen your focus to positively impact your strategic, operational and financial goals because it matters.

Our Values

1. Service to Clients

Putting the client’s best interest first

2. Integrity

Inspiring trust through personal client relationships

3. Excellence

Performance and applying skills pro-actively

4. Stewardship

Integrating excellence and accountability

5. Creativity

Consistent innovation for improvement

6. Dedication

Commitment above and beyond normal expectations

We’re here to help you make the most of every opportunity

The National Risk Advisors Difference ~~ We believe that our expertise and quality of thinking is the key difference between us and other firms.

Unique Models That Make A Difference

Clearly identify what is driving the risk

Make quicker, accurate and more informed decisions

Actuarially analyze risk on a Net Cost basis for better results

We are committed to serving our clients first and foremost. As such we are focused on seeing problems through the client’s eyes. Cost should be in line and cost efficient based on the risk exposures.

Client advantages include:

  • Best Cost
  • Coordinated and Comprehensive Reinsurance Program
  • Services to help control and reduce medical loss ratios in concert with their Medical
  • Director and Utilization Review staff
  • Quality Coverage
  • Elimination or reduction in misunderstandings and/or coverage gaps
  • Added Value Services that may be free from the reinsurer
  • Identification of future products and services of the reinsurer
  • Analysis of service capability of reinsurer
  • Determination as to how claims are adjudicated and paid
  • Monitoring of claims reserves to prevent reinsurer from over-reserving or under-reserving and thereby reduce inaccuracies on the client’s balance sheet that must be reconciled

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

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.

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.

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.