
How To Choose A Self Funded Provider Network
Provider network choice shapes employee care, plan costs, and out-of-pocket spend. Here’s how self-funded employers pick the right one.
Explore our blog resources to help employers and advisors understand the value of captive insurance.

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 actually controls them.

Stop-loss insurance protects self-funded employers from catastrophic claims by pooling risk with similarly sized businesses through a group captive plan.

Twenty percent of employees drive eighty percent of healthcare costs. Self-funded plans give you the data to manage chronic conditions and cut spend.

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

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

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

Sexual and reproductive health care access and education matter for employee outcomes and employer cost. Here’s how self-funded plans can

The Great Resignation reshaped what employees expect from their benefits. Here’s how employers should adapt plan design, communication, and total

Employee wellness program trends are shifting toward chronic disease management, behavioral health, and digital tools. Here’s what works inside self-funded

An employee benefits package is more than premium and deductible. Self-funded plans let you design the package around what your

Employee benefits education is the highest-leverage way to encourage self-advocacy and lower total plan spend. Here’s what to teach and
The pandemic permanently shifted employee health insurance expectations. Self-funded plans have adapted faster than fully insured ones to telehealth and
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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