For more than 45 years, FRP Managed Care Practice, powered by Pinnacle Brokers Insurance Solutions, has partnered with health plans, medical groups and provider organizations to safeguard against financial risk. Our industry expertise and data-driven strategies help clients optimize risk transfer, reduce exposure and strengthen financial performance. We offer cost-effective, high-quality services grounded in integrity, professionalism and long-term partnerships.
Pinnacle Brokers Insurance Solutions specializes in Managed Care Risk Management, offering tailored reinsurance and stop-loss solutions for organizations operating under capitation and value-based payment models.
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.
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.
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).
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.
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.
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.
