
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.

Missed subrogation opportunities cost both the employer and the captive real dollars. Learn how to identify them and build a

A healthcare advocate helps employees navigate care, find lower-cost providers, and resolve billing issues. The result: better outcomes and lower

Prescription drug spend is projected to rise 7.3% annually. Here’s what self-funded employers should do now to manage the cost

From the desk of Mike Schroeder, Roundstone founder, October edition: reflections on captive performance and the state of self-funded employer

From the desk of Mike Schroeder, Roundstone founder, July edition: notes on captive performance, employer outcomes, and what’s coming next

From the desk of Mike Schroeder, Roundstone founder: a periodic note on the state of self-funded health insurance, captive trends,

A subrogation strategy recovers dollars that another responsible party should pay. Here’s how self-funded employers and captives build a plan

Organ transplants by the numbers: volume, average cost, and what self-funded employers should know about preparing for these high-impact, high-cost

Organ transplants are among the highest-cost claims any employer plan can face. Here’s how self-funded employers prepare with stop loss

Association health plans give small employers a path to group purchasing power. Here’s how they work and when self-funded captives

Choosing a TPA is one of the highest-leverage decisions in a self-funded plan. Here are the tips employers use to

Wellness programs deliver measurable ROI through reduced claims, lower absenteeism, and stronger productivity. See how self-funded employers track and prove

For most CFOs, healthcare costs now eat directly into profitability. This Roundstone leadership study shows where the spend goes and

Healthcare cost containment finds waste, removes it, and keeps outcomes intact. Self-funded plans give you the claims data to do

Self-funding gives you the control, claims visibility, and flexibility to attack the cost drivers that fully insured plans actively hide

Effective cost containment starts with claims data, clinical care management, pharmacy optimization, and direct primary care partnerships working as one

Real healthcare cost savings come from claims transparency, smart vendor choices, and proactive clinical management. Self-funding makes all three possible.

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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