Topics:

• Medical Captives
• Stop loss
• Risk Taking, Risk Sharing, Risk Shifting
• Data Analytics
• Transparency
• Cost Control
• Direct Provider Network
• Funding Strategies
• Cost Containment Strategies

In this episode, Michael introduces you to Michael Schroeder, the President of Roundstone Insurance. Join us as we discuss how Roundstone Insurance provides employers with expertise in the captive marketplace coupled with turnkey insurance management services.

Here’s a glance at what we discuss in this episode:

• Michael’s experience as a practicing attorney, a property and casualty insurance expert and his path to joining Roundstone Insurance and applying the property and casualty captive insurance model to employer health insurance
• How small employers are impacted the most from healthcare cost inflation
• How the lack of price and quality transparency in healthcare is one of the key issues in the payment system
• Why some states such as Montana, North Carolina, and Oregon have stepped away from the traditional provider networks and have adopted reference-based pricing to control health care cost
• The misconception around the relationship between cost and quality
• The basics of captives and how they compare to traditional insurance companies
• How common captives are in the marketplace
• How Roundstone Insurance’s medical captive provides self-funding strategies with pooled risk to the middle market who may not have access to it otherwise
• How employers that participate in the medical captive have the ability to obtain claims data, utilization and implement cost containment strategies that would not be available in fully insured products
• Stop-loss basics and why it is more advantageous through the medical captive
• How Roundstone Insurance combines risk-taking, risk sharing and risk shifting to create an ideal funding strategy that works best for the employer
• Stop loss efficiencies within the medical captive compared to traditional stop loss
• Roundstone’s average renewals are 1/3 to 1/2 of traditional stop loss renewal
• The reporting an employer can expect to receive and the average captive dividend that employers have historically received
• The one statistic that an employer should be tracking
• How many employers are currently participating in Roundstone Captives and the types of employers that are a good fit for the captive
• Why focusing on employee experience is crucial with self-funding approach
• Roundstone University is a free learning management system for employers and consultants
• The impact of state regulations on medical captives
• Fee structure to join the medical captive and exit provisions
• How Roundstone’s Cost Savings Investigators (CSI) team provide employers with analytical tools and resources to identify and learn about cost containment solutions
• Roundstone’s website and contact information https://roundstoneinsurance.com/