
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,

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

Nurses are central to cost containment, quality of care, and patient outcomes. Here’s how self-funded plans put clinical expertise to

After a year of pandemic-driven change, here are the top five trends impacting health insurance costs and what self-funded employers

Nine practical ways employers can offset rising healthcare costs, from PBM strategy to centers of excellence, claims audits, and self-funded

Employee health drives healthcare cost. Well-being programs invest upfront in prevention and return compounding savings to self-funded plans over time.

Lowering prescription drug costs takes more than PBM negotiation. Self-funded employers can stack pharmacy strategy, direct contracts, and care management.

Roundstone’s CSI dashboard turns claims data into actionable healthcare analytics, helping employers find waste and bend their per-employee-per-year cost curve.

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

Introducing self-funded health insurance to employees is mostly about communication. Here’s how to explain the model, the value, and what

Well-being programs improve employee health while reducing benefit cost. Here’s how strategic incentives drive participation and engagement that actually sticks.

It’s hiring season. Top talent expects benefits that show employers actually invested in employee health. Here’s how self-funding helps you

Cultivating a culture of healthcare consumerism takes employee education, transparent tools, and steady communication. Here’s how to engage your team.

Employers can use wellness programs to improve employee health while controlling cost. Here’s how to launch a well-being program that
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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