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2022 Stop-Loss Stats and Health Plan Design Considerations
Bolton 
July 6, 2023 "71% of all stop-loss claims came from 10 procedures; over the last four years, 37% of claims came from the top three procedures ... Ideas to consider: [1] A cancer navigation program and a focus on specific cancer procedures that can be performed through bundled (fixed) costs. [2] Treatments, like dialysis infusion, done at home versus a medical facility ... [3] Ensuring access to detailed claims data to assess new strategies." |
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