Stop-Loss Insurance or Reinsurance for Multiyear Contracts

Eric NormanFoCUS, Research Briefs

In previous Research Briefs, we have discussed challenges faced by payers when contemplating using multiyear performance-based contracts. In this brief, we extend the discussion to include additional difficulties that may … Read More

Impact of Patient Mobility on Annuity/Performance-Based Contracting

Eric NormanFoCUS, Research Briefs

Spreading payments over time for durable or curative therapies can provide a better alignment between benefits and costs, but creates challenges when patients switch insurance coverage during the contract term. … Read More

Orphan Reinsurer Benefit Managers (ORBMs)

Eric NormanFoCUS, Research Briefs

An Orphan Reinsurer Benefit Manager (ORBM) could address the financial challenges (payment timing, therapeutic performance risk, actuarial risk), created by durable/potentially curable gene and cell therapies especially for smaller insurers … Read More

NEWDIGS in the world, May 2018

Eric NormanFoCUS, News

NEWDIGS leadership and thinking at recent international gatherings Gigi Hirsch and R. John Glasspool at LIGHT 2018 The second annual LIGHT Forum (Leaders in Global Healthcare and Technology) took place … Read More

Precision Financing strategies explored in FoCUS Design Lab

Eric NormanFoCUS, News

Healthcare innovation stakeholders co-develop solutions to make curative therapies accessible to patients, propose new pilot project CAMBRIDGE, MASSACHUSETTS—The NEWDrug Development ParadIGmS (NEWDIGS) initiative at the MIT Center for Biomedical Innovation (CBI) hosted … Read More

Impact of Actuarial Risk on Health Plans

Eric NormanFoCUS, Research Briefs

The uncertain number of patients likely to be treated with an expensive novel therapy (actuarial risk) could represent a major financial issue for some payers. In this brief, we will … Read More

Designing Precision Financing for Cures

Eric NormanFoCUS, Research Briefs

Designing Precision Financing for cures can be informed by a framework that tailors solutions to the three financing challenges of actuarial risk, performance risk and payment timing based on the … Read More