
Urgent Care Trends What Captive Members Should Know
Urgent care use is rising fast, with billing patterns to match. Here’s what captive members should know to steer employees toward the right care at the right cost.
Explore our blog resources to help employers and advisors understand the value of captive insurance.

Urgent care use is rising fast, with billing patterns to match. Here’s what captive members should know to steer employees toward the right care at the right cost.

The No Surprises Act changed the rules for out-of-network billing. For Roundstone captive members, it’s mostly business as usual: claims oversight already covers it.

A group captive insurance plan involves the employer, TPA, PBM, stop loss carrier, and advisor. Here’s the who’s who and what each partner actually does.

Meet the OG of the OC: a profile of one of Roundstone’s longest-tenured team members and the role they play in supporting captive members and advisors.

Roundstone distributed $5.9 million back to its captive participants, returning unused premium directly to employers in line with the program’s structure.

Introducing self-funded health insurance to employees is mostly about communication. Here’s how to explain the model, the value, and what changes for the team.
Self-funding means an employer pays for their employees’ healthcare claims directly instead of paying fixed premiums to an insurance carrier.
A medical group captive is a self-funded model where small and mid-sized employers join together to access financial advantages, share risk and gain greater stability.
Stop-loss insurance protects self-funded employers from large or unexpected claims. It caps financial risk so one high-cost event doesn’t significantly impact your overall healthcare spend.
Health insurance costs rise due to increasing healthcare prices, higher utilization, and lack of transparency in traditional models. Learn how self- funding through a captive can help offset these trends.
Cost containment includes strategies that reduce unnecessary healthcare spending while maintaining quality care. Read how tactics like claims analysis, preventative care, and pharmacy cost management can reduce spend.
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