US HealthCare Practice Leader
Amid the COVID-19 pandemic, healthcare providers became some of the most essential workers in the world, risking their health and safety to help contain the spread of illness locally and globally. Although new treatments and vaccines have helped control COVID-19, the healthcare industry remains at the front of the battle lines, treating patients while also seeking innovations in care technology and practices. Companies need to understand this changing risk landscape and how the insurance market is adapting and responding.
Marsh’s HealthCare Practice helps clients define, design, and deliver solutions that meet the unique needs of providers and payers alike. With an in-depth understanding of today’s healthcare challenges, our extended team of insurance and healthcare professionals works with you to define your organization’s risk profile. Then we use the industry’s most powerful analytics to help you quantify your risk and determine how much to mitigate, retain, or transfer.
By identifying exposures and managing your total cost of risk, your organization can thrive in an age of uncertainty, improving cash flow, driving down costs, reducing outcome volatility, and achieving greater predictability in risk budgeting.
Even before the COVID-19 pandemic, the US healthcare industry was facing a unique and evolving set of challenges. An aging population, combined with political change, led to uncertainty regarding the future of the Affordable Care Act (ACA), while the costs of care increased and reimbursements continued to decline for providers and healthcare facilities alike. And, while technology is increasingly being implemented in an attempt to streamline service delivery and enhance patient care, issues surrounding cybersecurity and protected health information are becoming more common.
Our US HealthCare Practice is committed to industry specialization and can assist you in addressing emerging risks, evolving customer expectations, and shifting regulations. We have a dedicated team of professionals serving a diversified group of healthcare organizations, representing thousands of individual hospitals, academic medical centers, and physician groups; health insurance plans; skilled nursing, assisted living, and senior residences; and ancillary and specialty operators.
Together, we can help you build a comprehensive and flexible risk management program — incorporating risk transfer and retention to mitigate exposures — that meets your total cost of risk and resilience objectives.
Managed care organizations (MCOs) are experiencing fundamental shifts, not only in how care is delivered, but also in transforming their operating models to value-based payments. Marsh's HealthCare Practice is dedicated to providing innovative solutions for the risks faced by managed care organizations like yours.
Amid a transformation in healthcare, increasing regulatory requirements, and new technologies, more physicians are foregoing independent practice and forming group practices. Marsh's healthcare risk specialists can assist clinicians in managing the risks of running a medical business and providing care.
Hospitals and other care providers, including physicians groups such as senior care facilities, continue to face several emerging and historic industry-related challenges, including:
Although overall capacity in the healthcare market appears to be stable following the pandemic, many insurers are being selective about what new business and renewals they are willing to write, and pricing continues to be challenging.
A captive insurance company is a subsidiary owned by one or more parent organizations established primarily to insure the exposures of its owners. The captive assumes a portion of the risks insured, and the balance is assumed by another insurance company, known as a reinsurance company. Some of the potential benefits of a captive include:
Through a captive, healthcare organizations can achieve greater transparency and control, while also getting the stability of being a participant, mitigating the risk and volatility associated with high severity/low frequency claims.
Directors and officers (D&O) liability insurance is a form of coverage designed to protect individuals from personal losses if they are sued as a result of serving as a director or an officer of a business or other type of organization.
A D&O policy can provide coverage for some of the areas that are most concerning to healthcare providers, such as peer review and credentialing, as well as allegations of antitrust, HIPAA violations, and regulatory claims.
Senior care organizations must manage a shortage of caregivers and increasing demands on facilities and services. Property hazards and the safety of employees, patients, and residents are key concerns for any senior care organization.
In addition to traditional property and casualty risks, the emergence of cyber threats should also be considered when evaluating your insurance and risk management program.
Ransomware is a type of cyberattack that blocks access to a victim's data, website, client services systems, or other critical resources. The attacker holds this information hostage, demanding a ransom be paid in exchange for unlocking access. For healthcare organizations responsible for sensitive patient data, these attacks can lead to severe financial and legal consequences, including disruption of care, compliance-based lawsuits, and reputational damage.
The American Telemedicine Association defines telemedicine as the use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or healthcare provider in an effort to improve patient care, treatment, and services. Telemedicine is not a medical specialty, but is instead a form of delivering care.
There are many benefits to the implementation of telemedicine, but there are also risks that should be considered.
The use of telemedicine reduces the risk of spreading viruses through in-person care, and the rapidly advancing technology provides a platform for education and training, a faster diagnosis of health-related issues, and reduced costs for both providers and patients.
Key risk considerations in telemedicine include direct and vicarious liability and the increase in cyber threats that may emerge as providers are seeing patients from a variety of different devices and networks across diverse locations.
Although acute care providers will need general liability insurance similar to businesses in other industries, they will also need to have professional liability coverage.
Also known as medical malpractice insurance, this coverage protects healthcare workers from the financial risk associated with patient injury, medical expenses, and property damage. Within this category there are two types of coverage to consider:
In addition to these standard forms of coverage, organizations will need to assess their unique exposures and vulnerabilities to design an insurance program that effectively helps reduce and manage risk.
A risk management advisor can help healthcare organizations assess their current risk environment, creating and executing a plan that minimizes exposures to enhance the safety and care of patients while also protecting the organization's property and employees.
Our team combines deep industry knowledge and leading technology to market your risks to the right insurers, generating competitive pricing and terms for your organization. We can also help you improve your insurance program design and deductible levels, leveraging our professional financial modeling and our specialist team’s data analytics.
For healthcare providers, the benefits of working with a risk management specialist are clear: access to a range of risk and insurance broking services that help you reduce costs, control risk, and protect your organization’s future.
US HealthCare Practice Leader