
Urgent Care Trends What Captive Members Should Know
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.
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.

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

Self-funded health insurance lets employers pay claims directly, capture savings when employees stay healthy, and see exactly where every dollar

Specialty drugs are the fastest-growing line item in employee benefits. A self-funded plan gives you the visibility and levers to

Budgeting a self-funded health plan means understanding fixed and variable costs. Here’s how to plan spend and unlock savings through

A group captive lets like-sized employers pool risk, share data, and capture savings together. It’s the structural alternative to fully

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

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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