Stop Loss Contracting Expert Witness Defines “Stop Loss”

Stop loss contracting expert witness Stephen C. George, MBA-HA, President of Provider Risk, explains “stop loss”:

Stop loss is an insurance which provides reimbursement for catastrophic medical claims incurred by a self-funded employer’s employee or by a capitated HMO member. There are two primary types of medical stop loss – employer stop loss and provider stop loss (provider excess loss).