CME’s transplant carve-out program is a powerful tool to manage specialized risk. The program provides expert knowledge as well as risk-transfer which is customized to this area of medicine. Transplants and all related claims are covered from 10 days prior to 365 days following the covered procedure. Experience and long-standing relationships within the transplant specialty enhance the program’s effectiveness in managing claims and providing service to your members. These programs can be a very effective tool to manage transplant risk. This is increasingly important as the number of transplants performed are on the rise, making experienced management ever more critical.
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Fully Insured Program:
- Solid organ and bone marrow procedures covered
- Known cost for unknown catastrophic liability
- Travel expenses and second opinions covered
- Rating based on transplant claims experience for MCOs
- Pooled rate for self-insured ERISA plans
- Reduced reinsurance and stop loss rates for MCOs and ERISA Plans
- Contract negotiating enhancement
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Transplant Network:
- Finest network available
- Outstanding contracted rates
- Top survival rate from providing Transplant “Centers of Excellence”
- Case management included
