WHO WE SERVE
A SELF-FUNDED INSURANCE SOLUTION
Self-funded insurance, also called a self-insured plan, means you pay for your employees’ health claims rather than paying a fixed premium to a carrier for a fully-insured health plan. A claims management company called a Third-Party Administrator (TPA) provides administrative services like payment management, underwriting, and program development – so you don’t have to worry about a thing.
We offer a type of self-funded insurance called a group captive to small and midsize businesses with 25 or more employees. We help you budget effectively for your expected healthcare consumption. The group captive is a shared-risk model; you are banded together with over 600 small and midsize businesses, each contributing a portion of premium to the pool. Rather than accepting all the risk yourself, you share it with other businesses that are also looking to reduce their risk.
It’s the better way to purchase health insurance.
Specific Solutions to the Healthcare Cost Problem
Healthcare Cost Containment Services can help employers:
- Reduce healthcare related costs by 15-30% or more
- Improve employee productivity
And, as an ancillary benefit:
- Recruit and retain employees (reduced healthcare costs, improved quality of healthcare, easier navigation of the healthcare process, and improved healthcare benefits)
How do we help employers reduce healthcare related costs?
- Move to a Self-Funded Managed Captive Health Plan (improved cost transparency
- Improved Pharmacy Benefit Management Program
- Referenced-Based Pricing
- Claims Management Program (audits, DRG validation, negotiation & repricing)
- Virtual Medical Practice & Telehealth (By reducing the number of employee and family visits to a primary care doctor, specialist, ER, or Urgent Care facility,
- Specialty Drugs Management
- Improved Fraud, Waste & Abuse and Claims Management
- Reduced Imaging Costs and Procedures
- Reduced ER Related Costs and Visits
- Reduced Surgical Costs
- Chronic Illness Management & Disease Prevention
- Improved Disease Prevention and Testing
- Implement Weight Loss, Smoking Cessation, Blood Pressure, Mental Health, Nutrition, and Exercise Management Programs
- Responsive TPA
Self-Funded Health Insurance is Now an Option for More Businesses
Times are changing. With technology advances, and Roundstone’s captive funding model, self-funding is now a solid option for smaller businesses – one where you keep what you don’t spend on claims and the captive distributes unused premium back to you each year. A win-win.
Self-funded health insurance with a group medical captive offers more savings, flexibility, and control than a fully-insured plan. We like to think of it as a long-term business strategy, not a frustrating renewal experience every 12-months.
And when you choose this route with Roundstone, instead of a black box, you’ll benefit from personalized service, a great benefits package for your employees, transparency from dollar one, and considerable savings and control.
It’s the better way to purchase health insurance.
Self-funded insurance means the employer pays the healthcare claims of employees through a third-party administrator (TPA) and buys stop-loss insurance for coverage of high-cost claims.
Instead of paying a fixed premium to an insurance company, companies pay claims as they come. For small and midsize companies, however, self-funded insurance wasn’t always practical. But by pooling many employers together in the Roundstone captive, they can now enjoy the benefits of self-funded health insurance.