Explore our blog resources to help employers and advisors understand the value of captive insurance.
Cancer treatment is one of the largest claim categories in any health plan. Self-funded employers can use steerage, centers of excellence, and case management to save.
Late-stage cancer diagnoses are among the most expensive claims employers face. Here’s how early detection and plan design lower the long-term cost.
Association health plans give small employers a path to group purchasing power. Here’s how they work and when self-funded captives offer a better fit.
High-cost specialty drugs are reshaping employer pharmacy spend. Here are the ways self-funded employers save without restricting clinical access for employees.
Prescription drug spend is projected to rise 7.3% annually. Here’s what self-funded employers should do now to manage the cost trajectory.
Self-funded programs put employers back in control of healthcare cost through claims transparency, plan design flexibility, and aligned vendor partnerships.
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
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
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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