
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.

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

Your benefit plan document is the rulebook for every claim. Here are best practices for keeping it accurate, defensible, and

Telemedicine services have gained massive popularity for their convenience and safety. Here’s how to screen a telemedicine provider that fits

With premiums escalating, employers must start managing per-employee-per-year (PEPY) cost performance. Here’s why PEPY is the benchmark that matters.

Eligibility audits by the numbers: how often ineligible dependents quietly drive up self-funded plan spend and what employers recover when

Not all group health plans are created equal. Plan design, network choice, and partner alignment separate the plans that control

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

Rising employee benefit costs threaten your bottom line. Measuring claims and healthcare data shows where your highest spend lives and

Lowering cost sharing in your health plan can reduce overall employee healthcare costs while improving access to higher-quality care. Here’s

Clinical care management lowers healthcare costs by guiding employees through complex care, catching issues early, and steering them to higher-quality

Catastrophic diagnoses can blow up a self-funded plan budget. Here are cost containment strategies, from centers of excellence to case

Managing health insurance costs takes more than annual renewals. Self-funded employers use claims data, vendor strategy, and care management every

Captives do it better on data transparency. Members get full claims visibility, not the aggregated, sanitized data fully insured carriers

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

Strategic incentives, education, and communication can increase wellness program engagement by 40-60%. Here’s how self-funded employers design programs that actually

Employee healthcare is the largest controllable line item on most P&Ls. Self-funded plans give you the data to manage spend

The best health insurance for employees isn’t always the lowest sticker price. Self-funding aligns cost, coverage, and care for long-term

Culturally competent healthcare improves outcomes and reduces preventable claims. Self-funded employers can choose vendors and programs that actually serve their

Five recommended reads on workplace wellness, from behavioral health to chronic disease management, for HR leaders building healthier, more engaged

Customer experience at Roundstone is anchored in responsive service, proactive claims navigation, and the team that supports employers through every
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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