
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.

A self-funded health plan can free up cash flow you didn’t know you had. Here’s how the model shifts working

The most popular group health insurance program might surprise you. Self-funded and group captive plans now drive more mid-market employer

Consumerism in healthcare means giving employees the tools and incentives to act like consumers. Here’s how self-funded plans build that

Employee benefit advisors grow and retain business by leading with cost containment. Here are four strategies that win renewals and

Self-funded health plans are a safer bet than employers expect. Stop loss, captive structure, and claims transparency reduce risk while

Roundstone unveiled a new enhanced website built to help employers and advisors explore self-funded health insurance, captives, and cost containment

Provider network choice shapes employee care, plan costs, and out-of-pocket spend. Here’s how self-funded employers pick the right one.

Pharmacy costs are rising faster than any line item in your health plan. Here’s how to choose a PBM that

Per-employee-per-year (PEPY) cost is the truest benchmark for whether your health plan is competitive. Here’s how to use it to

Your pharmacy benefit manager makes or breaks drug spend. Here’s how self-funded employers choose a PBM aligned with their interests,

A third-party administrator (TPA) is the backbone of any self-funded plan. Here’s how a TPA processes claims, manages eligibility, and

Finding the right TPA shapes claims accuracy, employee experience, and total spend. Here are 8 secrets self-funded employers use to

Cost containment in healthcare is the practice of cutting waste, not coverage. Self-funded plans give employers the data and tools

Rising health insurance costs are driven by medical inflation, prescription drug spend, and chronic disease. Self-funding gives employers the tools

Cost containment in healthcare is the discipline of cutting waste without cutting care. Self-funded employers have the data and levers

Emerging trends in prescription costs, GLP-1s, specialty biologics, and PBM consolidation, are reshaping how self-funded employers budget for pharmacy spend.

Hospital costs are the biggest driver of healthcare spend. Here’s why prices keep climbing and how self-funded employers fight back

Cost-effective healthcare for employers comes from claims transparency, vendor flexibility, and partner alignment, not just lower premium prices at renewal.

If renewal season has you bracing for a double-digit increase, it’s time to look at self-funding. Here’s how the model

Renewal season is the moment benefit advisors prove their value. Here’s how to prepare with claims data, scenario modeling, and

Strategic incentives, education, and communication can increase wellness program engagement by 40-60%. Here’s how self-funded employers design programs that actually

Employee healthcare is the largest controllable line item on most P&Ls. Self-funded plans give you the data to manage spend

The best health insurance for employees isn’t always the lowest sticker price. Self-funding aligns cost, coverage, and care for long-term

Culturally competent healthcare improves outcomes and reduces preventable claims. Self-funded employers can choose vendors and programs that actually serve their

Five recommended reads on workplace wellness, from behavioral health to chronic disease management, for HR leaders building healthier, more engaged

Customer experience at Roundstone is anchored in responsive service, proactive claims navigation, and the team that supports employers through every
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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