fp Turks and Caicos

After several months and some criticism from the local population, the Redbridge Group has officially announced their relationship with the National Health Insurance Program.

Redbridge was selected in April to reinsure NHIP and provide case management assistance for overseas treatment.

“The Redbridge Group welcomes the NHIP to its group of clients that includes some 100 insurers, reinsurers, healthcare facilities, multinational companies and governments around the world,” the statement read.

Redbridge Network & Healthcare assists the National Health Insurance Board (NHIB) by providing case management of overseas treatment claims in a unique “knowledge transfer” arrangement that will allow NHIB to develop in-house case management expertise, according to the company.

Under its arrangement, NHIB transfers the risk of overseas treatment claims exceeding $150,000 to a maximum of $1,000,000 per event. Redbridge’s clients include many of the largest names in life and health insurance in their markets, such as Atlantic Southern Insurance Company, MMM, La Colonial, Uniassurances, La Nacional Vida, Colpatria, Pichincha and others.

For claims likely to be less than $100,000, Redbridge provides advisory support to NHIB insurance operations as well as the use of the Redbridge case management IT infrastructure. For claims likely to exceed $100,000, Redbridge assumes case management responsibility but always in collaboration with NHIB’s insurance operations for training purposes. As NHIB’s insurance operations gain professional experience, it will assume full responsibility for case management, the statement explained.

Redbridge says it is committed to industry education.

“We believe the knowledge transfer arrangement between Redbridge and NHIB is innovative in the insurance community and is likely to become a model followed by other plans,” they said. Redbridge has several dozen other medical risk management clients, including the Instituto Nacional de Seguros (the national health insurance plan of Costa Rica), BUPA, the State Bank of Uruguay and others.

“Redbridge is very proud to be part of the healthcare reform in the Turks and Caicos Islands, and we are eager to support NHIB as it develops health plan management expertise on island” said Managing Partner Eugenio Chinchilla. “Redbridge understands that NHIB staff is comprised of the friends, family and neighbors of the beneficiaries they serve.

“Our organization will continue to support their professional development in every way, by transferring knowledge and cultivating the various skills required to manage a health plan of these proportions.”

Redbridge is headquartered in Coral Gables, Fla.