By Spencer Smith
For employers looking to escape the volatility of stop-loss lasers and massive renewals, The Samaritan Fund Program offers a unique path forward.
By leveraging their philanthropic network, they transition high-cost claimants into a better financial position – covering their premiums and deductibles fully – while stabilizing the plan for everyone else.
It aligns perfectly with everything we preach on this channel: Smarter risk management that actually benefits the patient, and is great for the industry as a whole.
ACA Patient dumping has become a popular under-the-radar risk transfer strategy no one is talking about. The Samaritan Fund is the vendor of choice for many of the national brokerage houses and TPAs who don’t want to get their hands wet. In the alternative some plan sponsors self-administer the scheme to avoid Samaritan’s $50,000 management fee per each risk transfer. Instead, a lessor amount is needed to pay premium for each individual policy purchased which averages out to $15,000-18,000 per insured.
Below is how we believe the Samaritan Fund is structured:
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