
Not All Group Health Plans Are Created Equal
Not all group health plans are created equal. Plan design, network choice, and partner alignment separate the plans that control cost from those that don’t.
Explore our blog resources to help employers and advisors understand the value of captive insurance.

Not all group health plans are created equal. Plan design, network choice, and partner alignment separate the plans that control cost from those that don’t.

Plan documents by the numbers: what self-funded employers should look for in summary plan descriptions, stop loss policies, and TPA contracts.

Reference-based pricing (RBP) only works with employee education and full claims transparency. Here’s how to set up both before rolling out the program.

Case study: Roundstone’s CSI team helped one employer save $40,000 by catching billing errors and overcharges that traditional claims review missed entirely.

Roundstone’s Cost Savings Investigators (CSI) team digs into claims data to find waste, billing errors, and overcharges. Real dollars stay in the plan.

Roundstone’s 2018 Medical Captive Forum brought together employers and advisors for two days of education, peer learning, and self-funded health insurance strategy.

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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