How To Choose A Self Funded Provider Network
Provider network choice shapes employee care, plan costs, and out-of-pocket spend. Here’s how self-funded employers pick the right one.
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 actually controls them.
Per-employee-per-year (PEPY) cost is the truest benchmark for whether your health plan is competitive. Here’s how to use it to drive decisions.
Your pharmacy benefit manager makes or breaks drug spend. Here’s how self-funded employers choose a PBM aligned with their interests, not the PBM’s.
A third-party administrator (TPA) is the backbone of any self-funded plan. Here’s how a TPA processes claims, manages eligibility, and supports employees.
Finding the right TPA shapes claims accuracy, employee experience, and total spend. Here are 8 secrets self-funded employers use to pick the right one.
Hidden fees in employee benefits plans quietly bleed your budget. Here are the top five charges to identify and renegotiate before your next renewal.
Telehealth coverage inspires trust because it removes friction from accessing care. Self-funded plans can prioritize and price telehealth on their own terms.
Aligning incentives between employer, employees, and providers is the foundation of a healthier, cost-effective benefits plan. Here’s how to design that alignment.
Is your healthcare benefits plan sustainable? Year-over-year cost increases say otherwise. Self-funded plans give employers the levers to bend the curve.
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.
Q&A with Roundstone founder Mike Schroeder on cost-saving measures employers can use right now to take control of their health insurance plan and renewal.
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