Explore our blog resources to help employers and advisors understand the value of captive insurance.
Missed subrogation opportunities cost both the employer and the captive real dollars. Learn how to identify them and build a recovery process into your plan.
A subrogation strategy recovers dollars that another responsible party should pay. Here’s how self-funded employers and captives build a plan that captures them.
Roundstone’s Advisors Council met in spring 2018 to share captive insights, employer outcomes, and the strategies advisors use to grow self-funded books of business.
Organ transplants by the numbers: volume, average cost, and what self-funded employers should know about preparing for these high-impact, high-cost claims.
Organ transplants are among the highest-cost claims any employer plan can face. Here’s how self-funded employers prepare with stop loss and centers of excellence.
A healthcare advocate helps employees navigate care, find lower-cost providers, and resolve billing issues. The result: better outcomes and lower total plan spend.
Group captive insurance was built as a structural alternative to fully insured health plans. Here’s how it gives mid-market employers
Small business health insurance doesn’t have to mean fixed plans and surprise renewals. Group captive self-funding makes the model accessible
Customer success in a self-funded plan means proactive claims management, employee navigation, and quarterly business reviews that turn data into
Mental health is the fastest-growing claims category for most employers. Self-funded plans give you the visibility to address behavioral health
Behavioral and mental health costs are climbing fast. Here’s how self-insured employers use plan design and clinical care to control
Why self-funding? Claims transparency, vendor flexibility, surplus return, and structural protection against the volatility that fully insured plans actively hide.
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
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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