Posts Tagged ‘medical’



June 10th, 2019

Healthcare Organizations and Medical Risk: What HCOs Need to Know About the Medical Risks They Own

Posted at 1:00 AM ET

diagnostic-risk-squareAs healthcare organizations transition their business models from “fee for service” to “fee for value,” margin pressure, capital allocation and expense management are pitfalls to a successful transition. We argue that the creation of an integrated risk strategy framework to think about medical risk collectively (the medical risk continuum) will empower healthcare organizations to manage this transition more effectively and ultimately lower healthcare claim risk costs.

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May 28th, 2019

How Will Gene Therapy Change the Health Insurance Landscape?

Posted at 1:00 AM ET

diagnostic-risk-squareGene therapy is a new kind of specialty medical treatment. A patient receives a one-time injection of DNA-filled viruses, and those viruses get to work changing the way a patient’s cells react. So far, three gene therapy treatments have been approved by the U.S. Food and Drug Administration: two are CAR T-cell immunotherapy treatments used for fighting leukemia, and one treats a hereditary blindness condition. Gene therapy is now considered an experimental treatment. If it enters the standard of care, payers may be faced with a whole new universe of high-cost claims.

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April 24th, 2019

A Matter of Time: Why the Clock is Ticking on Stop-Loss Reinsurance

Posted at 1:00 AM ET

diagnostic-risk-squareAs cutting-edge science leads to new, high-cost drugs and therapies, insurers are seeing uncapped claims costs grow higher. Stop-loss reimbursements generally are on the rise, with an increasing number of employers being reimbursed for a stop-loss claim every year.

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September 24th, 2018

Healthcare & Cyber Risk – Quantifying Exposure

Posted at 1:00 AM ET

holding-healthcare-to-ransom-cover-image-6The new study, Holding Healthcare to Ransom by Marsh & McLennan Companies Global Risk Center, reports that about 56 percent of healthcare respondents in the Marsh-Microsoft Global Cyber Risk Perception Survey say their organizations measure the cyber risks that they are exposed to, but a significant proportion do so using qualitative methods. Continue reading…

September 20th, 2018

Healthcare & Cyber Risk - The Need to Distribute Cyber Risk Management

Posted at 1:00 AM ET

holding-healthcare-to-ransom-cover-image-6Cyber risk management in the healthcare industry is still perceived to be driven by the IT department only, rather than overall enterprise risk management. According to healthcare respondents in the study Holding Healthcare to Ransom by Marsh & McLennan Companies Global Cyber Risk, 83 percent indicated that responsibility for cyber risk sits mainly with IT professionals and they are the primary owners and decision-makers for managing cyber risks, as compared to the 70 percent cross-industry average. Continue reading…

September 17th, 2018

Healthcare Target of Increased Cyberattacks

Posted at 1:00 AM ET

holding-healthcare-to-ransom-cover-image-6Over the past decade, the healthcare industry has been haunted by headlines of data breaches. Three of the largest reported incidents impacting healthcare organizations in 2015 alone affected more than 100 million patient records and resulted in hundreds of millions of dollars in settlements. Data and cyber breaches have real financial and reputational impacts.

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September 12th, 2018

Holding Healthcare to Ransom - Healthcare Industry’s Fight Against Cyberattacks

Posted at 1:00 AM ET

holding-healthcare-to-ransom-cover-image-6Healthcare is one of the industries most vulnerable to cyberattacks. The high stakes – human lives and sensitive data – make healthcare the perfect target for cybercrime. Continue reading…

November 9th, 2017

For MPL, Market Softening Continues in 2016—Signs of Pressure Emerge

Posted at 4:00 AM ET

Steve Underdal, Managing Director; Greg Bliss, Managing Director; Matt Walter, Senior Vice President and Blake Berman, Senior Vice President

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Since 2010, the medical professional liability (MPL) industry has been navigating a soft market, with declining profitability, diminished investment gains and rising accident year operating ratios. Yet, reserve redundancies have kept calendar year combined ratios below 100 percent, allowing carriers to pay dividends to policyholders while maintaining favorable returns on equity. Recent trends in the MPL insurance industry, including more aggressive competition among carriers and a leveling off of frequency trends, are driving accident year combined ratios higher. Without the continued tailwind of favorable reserve development, current market rates could prove unsustainable, driving market hardening in the coming years.

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August 30th, 2017

The Transfer of Pandemic Risk from the Public Sector

Posted at 1:00 AM ET

Here we review recent GC Capital Ideas posts on pandemic risk and the role of the capital markets to transfer risk from the public sector.

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