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EPIC Insurance Brokers & Consultants is a national specialty insurance brokerage and risk advisory firm (ranked #14 among the largest U.S. brokers, with 3,400+ employees and $10B+ in premiums placed). Within EPIC, the Reinsurance & Managed Care Risk Solutions team works specifically with risk-bearing healthcare organizations, including Medicaid managed care organizations, Medicare Advantage plans, dual-eligible (D-SNP) plans, provider-sponsored plans, PACE programs, and ACOs. Under the Insurance/Reinsurance Brokerage & Consulting category, the team provides brokerage, placement, renewal, and claims-support services for HMO reinsurance, provider excess/stop-loss, medical excess and quota-share reinsurance, ACO reinsurance, and captive solutions. Services include actuarial modeling of attachment points and retentions, premium-versus-risk and laser analysis, benchmarking, high-cost claimant review, and dedicated large-claim reporting, reimbursement, and carrier-audit advocacy throughout the policy lifecycle. An embedded actuarial and analytics team supports informed purchasing and optimal program structure, and all data is handled within the continental U.S. under HIPAA-compliant safeguards.

Regarding DSNP Launch, EPIC advises plans that operate or are standing up dual-eligible Special Needs Plan lines of business on how to protect against catastrophic and high-cost claims as membership grows. The team has direct experience serving D-SNP populations (its book of business includes Medicare Advantage and D-SNP membership, and its account executives specialize in dual-eligible and value-based arrangements), helping plans structure reinsurance and stop-loss coverage that stabilizes financial performance as new dual-eligible enrollment scales. Under Rx & Specialty Rx, EPIC delivers pharmacy consulting through its wholly owned Pharmaceutical Strategy Group (PSG), which supports PBM procurement and RFPs/market checks, contract review, vendor oversight and auditing, pharmacy and specialty-drug trend analysis, plan-design and clinical strategy, and data intelligence into pharmacy spend and trend drivers, an increasingly important service as specialty pharmaceuticals and cell/gene therapies drive claims volatility.

Contact:
Blake Kirk
Executive Managing Principal
707.816.0403
blake.kirk@epicbrokers.com

1140 Avenue of the Americas (6th Ave), 8th Floor
New York, NY 10036
www.epicbrokers.com