{"id":138284,"date":"2025-03-16T22:20:30","date_gmt":"2025-03-16T22:20:30","guid":{"rendered":"https:\/\/peraltafinancing.com\/business\/insurance\/unbundling-healthcare-cost-savings-inside-roundstones-preferred-bundle\/"},"modified":"2025-03-16T22:20:30","modified_gmt":"2025-03-16T22:20:30","slug":"unbundling-healthcare-cost-savings-inside-roundstones-preferred-bundle","status":"publish","type":"post","link":"https:\/\/fivemor.com\/?p=138284","title":{"rendered":"Unbundling Healthcare Cost Savings: Inside Roundstone\u2019s Preferred Bundle"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p><strong>Highlights<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">Benefits advisors can help clients reduce healthcare spending by up to 34% with Roundstone\u2019s preferred bundle solution.<\/li>\n<li aria-level=\"1\">The preferred bundle combines Bywater TPA, Cigna network, and select PBMs to maximize cost control.<\/li>\n<li aria-level=\"1\">Recent internal data shows Roundstone groups consistently outperform industry benchmarks while maintaining gold-level coverage.<\/li>\n<li aria-level=\"1\">Advisors gain a competitive edge by offering solutions that deliver measurable cost advantages.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>Healthcare costs can feel like an uphill battle for businesses. In 2023, employers spent an average of <strong>$16,464<\/strong> per employee on healthcare.<\/p>\n<p>\u00a0<\/p>\n<p>Small and mid-size companies need better options for controlling healthcare costs. Recent analysis of Roundstone\u2019s group captive performance data shows our Preferred Bundle Solution delivers exceptional results, with participating groups spending <strong>34% less than the industry average<\/strong> while maintaining comprehensive coverage.<\/p>\n<p>\u00a0<\/p>\n<p>Our Preferred Bundle includes a combination of Bywater as the third-party administrator (TPA), Cigna as the network provider, and either True Rx, Serve You Rx, or Cigna as the pharmacy benefit manager (PBM).<\/p>\n<p>\u00a0<\/p>\n<p>This strategic arrangement consistently delivers lower per-employee-per-year (PEPY) costs, averaging <strong>$1,700 less annually<\/strong> compared to non-preferred bundles\u200b\u200b\u2014<strong>18% less than the $23,154<\/strong> <strong>average<\/strong> for other arrangements\u2014without sacrificing quality of care.<\/p>\n<p>\u00a0<\/p>\n<p>These savings are driven by integrating three critical components: claims administration (TPA), provider networks, and pharmacy benefits management.<\/p>\n<p>\u00a0<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Bar-chart-of-2023-healthcare-costs-per-employee-Industry-16464-Standard-12385-Preferred-10810.webp\" alt=\"Bar chart of 2023 healthcare costs per employee Industry $16,464, Standard $12,385, Preferred $10,810\" width=\"900\" height=\"576\" class=\"aligncenter size-full wp-image-57881\" srcset=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Bar-chart-of-2023-healthcare-costs-per-employee-Industry-16464-Standard-12385-Preferred-10810.webp 900w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Bar-chart-of-2023-healthcare-costs-per-employee-Industry-16464-Standard-12385-Preferred-10810-300x192.webp 300w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Bar-chart-of-2023-healthcare-costs-per-employee-Industry-16464-Standard-12385-Preferred-10810-768x492.webp 768w\" sizes=\"(max-width: 900px) 100vw, 900px\"\/><\/p>\n<p>\u00a0<\/p>\n<h2>The Numbers Tell the Story<\/h2>\n<p>The <a href=\"https:\/\/shop.mercer.com\/en-gb\/national-survey-of-employer-sponsored-health-plans.html\">2023 Mercer\u2019s National Survey of Employer-Sponsored Health Plans<\/a> reports average healthcare costs of <strong>$16,464<\/strong> per employee for companies with 50-499 employees. Even without our preferred bundle, Roundstone captive members average just <strong>$12,385<\/strong> per employee\u2014<strong>a 24% reduction<\/strong>.<\/p>\n<p>\u00a0<\/p>\n<p>Groups using our preferred bundle reduce costs even further to <strong>$10,810<\/strong> per employee, representing a <strong>34% savings<\/strong> versus the industry benchmark.<\/p>\n<p>\u00a0<\/p>\n<p>This means your clients save <strong>$5,654<\/strong> per employee annually by choosing Roundstone\u2019s preferred bundle solution. For a company with 100 employees, that represents over half a million dollars in annual savings.<\/p>\n<p>\u00a0<\/p>\n<h2>Our Methodology<\/h2>\n<p>Aggregate PEPY data reflects the average cost of the Roundstone health plan for the whole book, and the average cost of Roundstone\u2019s preferred bundle. The calculations don\u2019t include dental and vision claims, point solution fees or PBM\/TPA fees above base or admin fees.<\/p>\n<p>\u00a0<\/p>\n<h2>Understanding the Preferred Bundle<\/h2>\n<p>Our preferred bundle combines three essential components:<\/p>\n<p>\u00a0<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Bywater TPA<\/strong>. Our in-house third-party administrator specializes in self-funded plan management, delivering seamless administration and superior service.<\/li>\n<li aria-level=\"1\"><strong>Cigna network<\/strong>. Access to Cigna\u2019s comprehensive provider network ensures employees maintain choice and quality care.<\/li>\n<li aria-level=\"1\"><strong>Select PBMs<\/strong>. Partnerships with True Rx, Serve You Rx, or Cigna provide transparent pharmacy benefit management and maximize rebate potential.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>Companies using this strategic combination spend <strong>$1,700 less<\/strong> PEPY compared to those using other arrangements, while maintaining high-quality coverage.<\/p>\n<p>\u00a0<\/p>\n<h2>Bywater + Cigna = Network Advantage<\/h2>\n<p>Self-funded health plans work best when their components work together seamlessly. That\u2019s why our preferred bundle pairs Bywater\u2019s administration with Cigna\u2019s network capabilities. Here\u2019s what this integration means for your business:<\/p>\n<p>\u00a0<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Streamlined claims processing<\/strong>. When the TPA and network carrier work as one unit, claims move efficiently from provider to payment, reducing administrative complexity.<\/li>\n<li aria-level=\"1\"><strong>Consistent provider communication<\/strong>. A unified TPA-network relationship means providers have clear channels for verification, authorization, and claims submission.<\/li>\n<li aria-level=\"1\"><strong>Simplified implementation<\/strong>. Working with aligned partners eliminates duplicate setup processes and reduces implementation time.<\/li>\n<li aria-level=\"1\"><strong>Single point of contact<\/strong>. Your clients get direct access to Bywater\u2019s expert service team for both administrative and network questions, streamlining issue resolution.<\/li>\n<li aria-level=\"1\"><strong>Data alignment<\/strong>. Integrated systems mean better data flow between network and administrator, leading to more accurate reporting and faster issue identification.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/75-average-PEPY-savings-23-less-PEPY-210-pharmacy-claim-savings-vs-non-bundled.webp\" alt=\"$75 average PEPY savings, 23% less PEPY, $210 pharmacy claim savings vs non-bundled\" width=\"900\" height=\"233\" class=\"aligncenter size-full wp-image-57882\" srcset=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/75-average-PEPY-savings-23-less-PEPY-210-pharmacy-claim-savings-vs-non-bundled.webp 900w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/75-average-PEPY-savings-23-less-PEPY-210-pharmacy-claim-savings-vs-non-bundled-300x78.webp 300w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/75-average-PEPY-savings-23-less-PEPY-210-pharmacy-claim-savings-vs-non-bundled-768x199.webp 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\"\/><\/p>\n<p>\u00a0<\/p>\n<h2>Pharmacy Benefits That Work Harder<\/h2>\n<p>Our preferred PBM partnerships show clear advantages in controlling prescription drug spending:<\/p>\n<p>\u00a0<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Lower administrative costs<\/strong>. Preferred PBM administration fees average <strong>$75<\/strong> per employee annually\u2014<strong>23% less<\/strong> than non-preferred arrangements.<\/li>\n<li aria-level=\"1\"><strong>Better net pharmacy costs<\/strong>. Despite variations in rebate structures, our preferred PBMs deliver total pharmacy claim costs that are <strong>$210 less<\/strong> per employee annually.<\/li>\n<li aria-level=\"1\"><strong>Integrated approach<\/strong>. The combination of competitive pricing, efficient administration, and strategic partnerships helps control one of the fastest-growing healthcare expenses.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Dashboard-showing-financial-claims-data-trends.webp\" alt=\"Dashboard showing financial claims data, trends\" width=\"975\" height=\"576\" class=\"aligncenter size-full wp-image-57883\" srcset=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Dashboard-showing-financial-claims-data-trends.webp 975w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Dashboard-showing-financial-claims-data-trends-300x177.webp 300w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Dashboard-showing-financial-claims-data-trends-768x454.webp 768w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\"\/><\/p>\n<p>\u00a0<\/p>\n<h2>The Rest of the Story: Data-Driven Cost Containment<\/h2>\n<p>The preferred bundle\u2019s savings extend beyond initial discounts through strategic cost containment. By combining Bywater\u2019s administration with transparent data access and Roundstone\u2019s <a href=\"https:\/\/roundstoneinsurance.com\/blog\/cost-savings-investigators\/\">Cost Savings Investigators<\/a> (CSI team), employers can:<\/p>\n<p>\u00a0<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Track spending patterns<\/strong>. The <a href=\"https:\/\/roundstoneinsurance.com\/blog\/roundstone-csi-dashboard-data-analytics-and-healthcare\/\">CSI Dashboard<\/a> provides real-time insights into healthcare spending, helping identify opportunities for additional savings beyond the bundle\u2019s baseline advantages.<\/li>\n<li aria-level=\"1\"><strong>Make informed decisions<\/strong>. Regular data analysis reveals which cost containment strategies work best for your specific employee population.<\/li>\n<li aria-level=\"1\"><strong>Monitor results<\/strong>. Track the impact of cost containment measures through detailed claims data, ensuring your savings continue growing over time.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>This data-driven approach helps explain why our preferred bundle groups consistently outperform both non-preferred arrangements and industry benchmarks.<\/p>\n<p>\u00a0<\/p>\n<h2>Quality Remains Priority One<\/h2>\n<p>Cost savings mean little without quality coverage. Roundstone plans maintain an actuarial value of <strong>81.04%<\/strong>, qualifying as <strong>gold-level coverage<\/strong>. This means employers cover approximately 81% of healthcare costs, providing substantial support for employees while controlling spending.<\/p>\n<p>\u00a0<\/p>\n<p>Groups of all sizes benefit from our model, with larger groups seeing additional advantages through higher specific deductibles. The data shows consistent performance across our book of business, with the preferred bundle delivering optimal results.<\/p>\n<p>\u00a0<\/p>\n<p>The key takeaway? With the flexibility of our preferred bundle, organizations across the size spectrum can achieve meaningful savings while tailoring their healthcare strategies to meet specific needs.<\/p>\n<p>\u00a0<\/p>\n<h2>The Roundstone Preferred Bundle: Your Path to Healthcare Cost Optimization<\/h2>\n<p>At Roundstone, we don\u2019t just talk about savings, quality, and efficiency\u2014we deliver them:<\/p>\n<p>\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Cost-coverage-and-admin-metrics-5654-savings-81.04-actuarial-value-301-admin-savings.webp\" alt=\"Cost, coverage, and admin metrics $5,654 savings, 81.04% actuarial value, $301 admin savings\" width=\"900\" height=\"248\" class=\"aligncenter size-full wp-image-57884\" srcset=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Cost-coverage-and-admin-metrics-5654-savings-81.04-actuarial-value-301-admin-savings.webp 900w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Cost-coverage-and-admin-metrics-5654-savings-81.04-actuarial-value-301-admin-savings-300x83.webp 300w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Cost-coverage-and-admin-metrics-5654-savings-81.04-actuarial-value-301-admin-savings-768x212.webp 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\"\/><\/p>\n<p>\u00a0<\/p>\n<p>Our preferred healthcare bundle brings together the best in claims administration, provider networks, and pharmacy benefits management to give you a competitive advantage and transform how you provide value in a complex market.<\/p>\n<p>\u00a0<\/p>\n<ul>\n<li aria-level=\"1\"><strong>Differentiate your practice<\/strong>: Offer a data-driven approach that delivers tangible savings.<\/li>\n<li aria-level=\"1\"><strong>Build client trust<\/strong>: Demonstrate your commitment to cost-effective, high-quality healthcare solutions.<\/li>\n<li aria-level=\"1\"><strong>Increase client retention<\/strong>: Become the advisor who consistently delivers bottom-line results.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<h2>Your Next Step<\/h2>\n<p>Give your clients the advantage of proven cost control without sacrificing coverage quality. Contact Roundstone today to learn how our group captive and preferred bundle can reduce their healthcare spending.<\/p>\n<p>\u00a0<\/p>\n<p>To learn more about self-funding employer health insurance through Roundstone\u2019s group captive, <a href=\"https:\/\/roundstoneinsurance.com\/advisors-guide-to-captive-health-insurance?__mscta=3355_102812_12549\">download your free Advisor\u2019s Guide <\/a>today.<\/p>\n<p>\u00a0<\/p>\n<p><a href=\"https:\/\/roundstoneinsurance.com\/advisors-guide-to-captive-health-insurance?__mscta=3355_102812_12549\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Become-an-expert-in-innovative-solutions-for-your-clients.webp\" alt=\"Become-an-expert-in-innovative-solutions-for-your-clients\" width=\"900\" height=\"471\" class=\"aligncenter size-full wp-image-57885\" srcset=\"https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Become-an-expert-in-innovative-solutions-for-your-clients.webp 900w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Become-an-expert-in-innovative-solutions-for-your-clients-300x157.webp 300w, https:\/\/roundstoneinsurance.com\/wp-content\/uploads\/2025\/01\/Become-an-expert-in-innovative-solutions-for-your-clients-768x402.webp 768w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\"\/><\/a><\/p>\n<p>\u00a0<\/p>\n<p><i><span style=\"font-weight: 400;\">Source: 2024 Roundstone Internal Data Report, \u201cPEPY Performance Analysis\u201d, November 2024.<\/span><\/i><\/p>\n<\/p><\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Highlights Benefits advisors can help clients reduce healthcare spending by up to 34% with Roundstone\u2019s preferred bundle solution. The preferred bundle combines Bywater TPA, Cigna network, and select PBMs to maximize cost control. Recent internal data shows Roundstone groups consistently outperform industry benchmarks while maintaining gold-level coverage. Advisors gain a competitive edge by offering solutions [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":138285,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[94],"tags":[1048,11488,4391,11351,59083,10953,59082],"dealstore":[],"offerexpiration":[],"class_list":["post-138284","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-insurance","tag-bundle","tag-cost","tag-healthcare","tag-preferred","tag-roundstones","tag-savings","tag-unbundling"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Unbundling Healthcare Cost Savings: Inside Roundstone\u2019s Preferred Bundle - Som2ny Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivemor.com\/?p=138284\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Unbundling Healthcare Cost Savings: Inside Roundstone\u2019s Preferred Bundle - Som2ny Network\" \/>\n<meta property=\"og:description\" content=\"Highlights Benefits advisors can help clients reduce healthcare spending by up to 34% with Roundstone\u2019s preferred bundle solution. 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Som2ny Network","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/fivemor.com\/?p=138284","og_locale":"en_US","og_type":"article","og_title":"Unbundling Healthcare Cost Savings: Inside Roundstone\u2019s Preferred Bundle - Som2ny Network","og_description":"Highlights Benefits advisors can help clients reduce healthcare spending by up to 34% with Roundstone\u2019s preferred bundle solution. The preferred bundle combines Bywater TPA, Cigna network, and select PBMs to maximize cost control. Recent internal data shows Roundstone groups consistently outperform industry benchmarks while maintaining gold-level coverage. 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