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Title: Provider excess loss insurance: a safety net for risky business. Author: Phillips CT. Journal: Healthc Financ Manage; 1996 Aug; 50(8):40-2. PubMed ID: 10158922. Abstract: Capitation agreements are challenging healthcare providers to keep the cost of delivering care at or below their agreed-upon capitated payment. To protect themselves when this cannot be accomplished, providers are purchasing provider excess loss insurance, which reimburses providers if their patient costs exceed a deductible or per-member-per-month dollar threshold. It is important that managers understand differences among the three general types of providers excess loss insurance: per-person, aggregate, and carve-out.[Abstract] [Full Text] [Related] [New Search]