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
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
You don’t always get what you pay for in healthcare. Bob Chrobak shows how higher cost doesn’t always mean better
Roundstone’s Cost Savings Investigators (CSI) team digs into claims data to find waste, billing errors, and overcharges. Real dollars stay
Late-stage cancer diagnoses are among the most expensive claims employers face. Here’s how early detection and plan design lower the
High-cost specialty drugs are reshaping employer pharmacy spend. Here are the ways self-funded employers save without restricting clinical access for
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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