TALON and Litchfield partner on medical stop-loss insurance

GlobalData

Mon, Apr 7, 2025, 2:38 AM 2 min read

TALON, a healthcare pricing specialist, has chosen Litchfield Underwriters for aesculapian stop-loss security coverage.

The collaboration volition enactment the “first deployment” of TALON’s in-house negotiated complaint calculation and pricing solution, Universally Acceptable Payment Amount (UAPA).

UAPA employs instrumentality learning (ML) to analyse and synthesise precocious volumes of healthcare pricing data, curating a “single, evidence-based” rate.

It replaces the conception of "network discount" with a terms that reflects “commercial acceptance”.

UAPA's pricing is derived from existent commercialized transactions involving much than 400 payers, resulting successful an equitable midpoint complaint that is neither artificially debased nor high.

TALON claims that this ensures providers person a complaint they recognise, portion employers expect their healthcare spending and patients person entree to “ethical” pricing.

The purpose is to connection “equitable” marketplace rates for healthcare providers and patients.

TALON CEO Mark Galvin stated: "The healthcare manufacture volition acquisition a paradigm displacement arsenic a effect of our improvement and deployment of UAPA. This displacement means a much efficient, patient-centric, free-market driven fiscal situation for healthcare patients and providers. Litchfield Underwriters' extended quality to trade solutions to lucifer TALON's unsocial hazard appetite and illustration made our determination to enactment alongside them precise easy."

Litchfield main and cofounder Michael Pastor said: "With the robust information leveraged by TALON to make UAPA, we were excited to deploy our proprietary underwriting technologies to supply an innovative aesculapian stop-loss reinsurance argumentation tailored to TALON's needs. By aligning terms transparency and terms equity, UAPA aligns with our imaginativeness for creating a much businesslike and effectual healthcare ecosystem for employers and their employees."

Litchfield Underwriters' underwriting methodologies are designed to supply self-funded reinsurance solutions to some commercialized clients and Welfare Funds.

The methodologies are crafted for tiny to mid-sized employers, with workforces ranging from 50–500 employees, and connection a self-funded enactment arsenic an alternate to accepted afloat insured wellness plans.

"TALON and Litchfield spouse connected aesculapian stop-loss security " was primitively created and published by Life Insurance International, a GlobalData owned brand.