“Organ transplant is not something that the employer or even the TPAs are necessarily all experts in." - Guy Finley

“There are still going to be some situations and some events inside that episode of care that are going to be stop-loss related, so we want the two to work together.” - Robby Kerr

Guy Finley and Robby Kerr from HCC joined me in studio for this week’s episode of Self-Funded to discuss covering organ transplants. The costs associated with and frequency of these procedures have greatly increased in recent years, and Guy and Robby share HCC’s strategy to separately insure transplants.

Before jumping into the world of organ transplants, we talked about Guy and Robby’s backgrounds and how they made their way to HCC, as well as each of their roles currently. I was interested to learn why organ transplants became such a passion project for Guy, and how covering them is similar to other high-cost expenditures like specialty drugs. 

Join us this week to get an education on organ transplant policy and the best way to cover them in today’s market!

Chapters:

00:00:00 Meet Guy Finley and Robby Kerr
00:07:52 Organ Transplant Insurance
00:13:05 Rising Costs of Transplant Procedures
00:17:31 Comprehensive Coverage for Potential Transplants
00:21:56 Transplant Coverage Financial Assessment
00:27:11 Transplant Nurse Advisors
00:33:24 Transplant Policy Evaluation and Underwriting Process
00:37:26 Rising Liver Transplant Numbers
00:47:42 Innovative Risk Mitigation in Gene Therapy
00:50:17 Rising Rates of Organ Transplants Nationwide
00:59:41 Empowering Consumers Through Healthcare Price Transparency

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Key Words: 

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