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Foundation Risk Partners (FRP) Managed Care Practice is a specialized brokerage and consulting team dedicated to serving health plans and other risk-bearing healthcare organizations. We deliver customized reinsurance, stop-loss, and risk management solutions designed to protect against catastrophic claims, strengthen financial performance, and support success in value-based care arrangements.

Our experienced team understands the unique challenges facing health plans serving Managed Medicaid, Medicare Advantage, and Commercial populations. We partner with clients to enhance financial stability, meet regulatory and capital requirements, and optimize risk management through data-driven strategies and innovative risk transfer solutions.

Driven by a commitment to service, integrity, and long-term partnerships, we help organizations safeguard their financial health while remaining focused on their core mission: providing high-quality, accessible care to the communities they serve.

Our Specialized Coverage

FRP Managed Care Practice specializes in Managed Care Risk Management, offering tailored reinsurance and stop-loss solutions for organizations operating under capitation and value-based payment models.

HMO Reinsurance

Financial protection for Medicare Advantage, Managed Medicaid and commercial HMO plans by mitigating the impact of catastrophic claims that could otherwise lead to significant financial losses.

Provider Stop-Loss

Financial protection for medical groups, Independent Practice Associations (IPAs), PACE providers and other capitated entities by shielding them from catastrophic healthcare expenditures incurred by managed care patients.

Aggregate Excess of Loss

Reinsurance provides Accountable Care Organizations (ACOs) with a financial safety net to protect their attributed benchmark revenue under traditional Medicare risk arrangements with the Centers for Medicare & Medicaid Services (CMS).

Risk Strategy & Claims Auditing

Manages risks with tailored strategies and claims auditing to uncover payment errors, which is often the root of rising stop-loss premiums. Our multi-entity analysis typically recovers 3–5% in overpayments, backed by actionable reports that drive recovery and improve performance.

Bundled Payment Protection

Addresses and helps control excess costs tied to specific episodes of care within CMS or commercial payor bundled payment models, supporting financial sustainability and care quality under value-based reimbursement structures.

Surety Bonds

Supports Accountable Care Organizations (ACOs) in meeting CMS-mandated capital reserve requirements and repayment guarantee obligations, ensuring compliance and financial readiness under Medicare risk arrangements.

Experience you can Measure

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Carl Canaparo
CEO

Carl Canaparo brings nearly four decades of leadership, innovation, and expertise in the insurance industry. He began his career in 1989 with ABD Insurance and Financial Services, where he built the firm’s Managed Care Risk Practice. In 2000, he joined ISU Massie & Beck Insurance as a Risk Consultant, further expanding his expertise in complex risk management solutions.


In 2006, Carl founded Pinnacle Brokers, a boutique, full-service property and casualty brokerage. Under his leadership, Pinnacle developed high-performing teams serving the healthcare, technology, and manufacturing sectors. Throughout the firm’s growth, Carl maintained a strategic focus on managed healthcare risk solutions, establishing a specialization that became a defining strength of the organization and a key factor in Foundation Risk Partners’ acquisition of Pinnacle in 2018.


Today, Carl leads the FRP Managed Care Practice, continuing his vision of building a premier managed care risk and insurance platform for physician groups, health plans, provider organizations, and other risk-bearing healthcare entities. The practice delivers a comprehensive suite of specialized solutions, including HMO reinsurance, provider excess insurance, managed care stop-loss, and other innovative risk management strategies designed to support organizations operating under value-based and capitated care arrangements.

Curtis Beharry
Executive Vice President

Curtis Beharry is an accomplished healthcare executive with extensive experience in managed care, health insurance operations, risk management, value-based care, claims administration, analytics, and strategic business development. As Executive Vice President, he is responsible for driving organizational growth, operational excellence, client success, and innovation across multiple business segments.

Throughout his career, Curtis has successfully led teams responsible for claims operations, account management, data analytics, premium reporting, reinsurance administration, and population health initiatives. He has developed and implemented strategies that improve operational efficiency, enhance financial performance, strengthen compliance programs, and deliver measurable value to health plans, providers, employers, and government-sponsored healthcare programs.

Curtis possesses deep expertise in Medicaid, Medicare Advantage, Commercial Health Plans, Value-Based Care, Risk Adjustment, Stop-Loss and Reinsurance Programs, and Managed Care Administration. He has worked closely with health plans, provider organizations, accountable care organizations (ACOs), and healthcare stakeholders to develop solutions that improve quality outcomes while effectively managing healthcare costs.

Known for his collaborative leadership style, Curtis believes that strong relationships, teamwork, and transparent communication are critical to organizational success. He is passionate about developing high-performing teams, mentoring future leaders, and creating a culture that fosters innovation, accountability, and continuous improvement.

In addition to overseeing operational and strategic initiatives, Curtis actively engages in business development efforts, helping organizations identify opportunities for growth, improve financial sustainability, and navigate the evolving healthcare landscape.

Curtis is recognized for his ability to translate complex healthcare challenges into practical business solutions while maintaining a relentless focus on client satisfaction, employee engagement, and long-term organizational success.