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ROSE® Program

The ROSE® Program (Reinsurance Outcomes and Service Experts) is the reinsurance industry’s premier medical and claim consulting program and is available to RGA clients. Since 1984, ROSE® has set the standard for excellence. 

Medical advances, cost shifting and changing utilization patterns are contributing to dramatic increases in catastrophic claims. A well-designed medical reinsurance program has never been more critical to manage these forces.

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ROSE® offers proven medical management solutions to promote quality outcomes. ROSE services include:

  • Complimentary access to Health Services Consultant nurses who are available for consultation on difficult and/or high dollar cases
  • Complimentary operational review of your case management program, access to physician consultants
  • Complimentary NCQA accredited perinatal and neonatal case management for your members and more

For a complete list of services, please contact

ROSE® offers cost containment solutions to mitigate financial risk – all while promoting high quality appropriate care. ROSE addresses the sources of high-dollar claims through:

  • Specialty pharmacy contracts and consulting
  • Transplant networks
  • Claim negotiations and re-pricing
  • NICU levels of care consultation and training
  • Oncology cost containment resources
  • Dialysis and renal disease cost containment solutions
  • And so much more

For a complete list of services, please contact

ROSE® offers a suite of customized research and education solutions to prepare clients for a dynamic healthcare environment. Some of the offerings include a cutting-edge complimentary annual ROSE Conference with CCM and nursing CE credits, relevant webinars, and our ROSE portal with access to completed research, benchmarking data, on-demand webinars, other resources and more.  For a complete list of services, please contact

The ROSEBUD® Program is NCQA-accredited, improves health outcomes and reduces costs associated with high-risk pregnancies and infants. ROSEBUD provides:

  • Complimentary case management for perinatal and neonatal members

  • Access to specialized nurse consultants to assist in developing or consulting on internal perinatal or neonatal case management programs, policies, or procedures

  • Perinatal/neonatal specific education

  • Assistance in implementing an NICU levels of care program to contain neonatal costs by ensuring appropriate levels of care are being billed and reimbursed

To learn more about the ROSEBUD, contact

Case Mgmt 3 yrs New Seal