Stop-Loss Management
Medical claims financing and stop-loss prevention program for self-insured claims generated by members’ employees and beneficiaries
Georgia ADS, LLC (GA ADS) is a subsidiary of Phoenix Health Care Management Services, Inc., and is committed to delivering members better health and financial outcomes.
Benefits of the Program
- Members take on more up-front risk through our actuarially designed shared financing model
- Lowered cash outlay and increased cash flow associated with catastrophic claims management through our shared financing program
- Significantly reduced stop-loss premiums through a group purchasing approach
- The power of 55,000 employee covered lives and 125,000 total covered lives
- InfoLock predictive analytics
Value
- Average savings per member in 2018 was $2,388,000
- Total savings for 2018 was $33,400,000
Components
- Self-Insured – $225,000 (members responsibility)
- Shared Financial Layer – $225,001 to $750,000 (members are assigned an actuarially determined percentage of total claims paid)
- Reinsurance – $750,001 to unlimited
InfoLock (powered by Lockton)
A predictive analytic and benchmarking tool, InfoLock currently includes 800 employers and 2.5 million members.
- Leverage data through Georgia ADS
- Transform data by identifying trends and anomalies that create opportunities for improved outcomes and cost reductions
- Gain knowledge and insights using trends
- Apply wisdom and learnings to drive actions and create targeted solutions