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.
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
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
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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