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.
Captive insurance changes how employers absorb and manage healthcare costs. Group medical captives turn unpredictable claims into a controllable, transparent
A medical captive advisor helps employers evaluate self-funded captives, compare partners, and design a plan that protects against catastrophic claims
Level funding looks like self-funding from a distance but lacks claims transparency, vendor flexibility, and surplus return. Here are ten
Prescription drug prices are the fastest-growing cost in employer benefits. Self-funded plans give you the visibility and tools to bend
Group captives let employers share risk, return unused premium, and gain claims transparency. Here’s how that structure translates into real
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
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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