Summit Re Consulting Services

Because a number of our clients have asked us to look at various aspects of their health plans over the years, we have developed a range of consulting services that we offer a la carte. These services provide detailed analyses of health plans' risk exposure and offer recommendations to mitigate that risk.

Service	How it gives your plan an advantage
Summit Re's proprietary InSight analysis	InSight helps you determine if you should purchase reinsurance coverage and, if so, the appropriate deductible level and coverage parameters given your claim history, contracted arrangements with network facilities and referral patterns.
A detailed evaluation of your medical management department's structure, policies and procedures, with comparisons to nationally-recognized benchmarks	We offer recommendations for improving your program's efficiencies and effectiveness.
Our reinsurance "report card"	The report card gives you an objective measure for comparing reinsurance options and identifying which are the smartest choices for your plan.
An analysis of your investment and cash management strategies	The analysis includes recommendations for improvements that can help you increase your investment returns and/or become more tax-efficient
A comparison of material contractual provisions contained in the excess loss agreements issued by current leaders in the health plan reinsurance marketplace	Our review points out definitions and other contract provisions that impose coverage limitations that sometimes aren't readily recognizable.
A high-level assessment of the financial competitiveness of your pharmacy benefits management program	The assessment analyzes and benchmarks areas that are critical to ensuring a successful PBM program.
An assessment of your directors and officers/errors and omissions policies	Since each insurer drafts its own version of coverage, this analysis can help you determine if you have adequate coverage.
Referrals of qualified senior managers and experienced consultants who can serve as interim or permanent executives and assist with strategic planning and operations.	We can help you keep your organization running smoothly and shorten the time until your leadership is fully in place.

These risk and medical management analysis services can be valuable for all types of reinsurance programs - commercial, Medicare, and/or Medicaid. This is a stand-alone consultative service which requires no purchase of medical excess reinsurance from Summit Re.

For more information on any of these services, please contact us at