than $5,000, for example — you can simply deduct the cost from
the bundle. Second, your group can self-fund an internal claim
reserve — a slush fund built up over time with a small percentage
taken from each bundled fee — to cover additional costs that
exceed $5,000 but are less than $10,000.
Finally, it's a good idea to seek a stop-loss insurance policy.
Unexpected catastrophic costs of care that exceed $10,000 can be
considered insured claims and submitted for payment to the carrier.
4
Negotiate with confidence
Drilling down to the cost of each element in the episode of care
will inform you on how to set the bundle's numerous embedded fees.
Then, when it's time to negotiate with commercial insurers, you can do
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