Roundstone

02/27/2026

AI in healthcare is everywhere.

But very little of the conversation focuses on what’s actually working inside hospitals today.

As we kickoff Season 2 of Healthcare Forward, Michael Schroeder sat down with Brandon Cornuke, Senior Director of Innovation at University Hospitals, for part 1 of our University Hospitals AI series to talk about how AI is being deployed right now to improve care, operations, and cost management.

This conversation goes beyond the buzzwords.

We dig into real applications already producing measurable impact:

• AI-powered Connected Care reducing patient falls and supporting nursing teams
• AI-driven patient follow-up improving post-discharge engagement

Check out the full episode Leveraging AI for Innovation in Healthcare to hear more about the impact and AI progress happening with University Hospitals Ventures: https://www.youtube.com/watch?v=nkIutbHAeg4&utm_source=Facebook&utm_campaign=S2E1&utm_id=HealthcareForward

02/25/2026

We rolled up our sleeves yesterday 💪

We hosted our very first blood drive with the American Red Cross, and our team showed up in a big way. Together we collected enough blood to impact 105 lives!

What started as a Wellness Committee idea turned into a day full of generosity, high-fives, snacks… and a lot of bandaged arms.

A great reminder that living our values isn’t just something we talk about — it’s something we do.

02/24/2026

The new federal Pharmacy Benefit Manager (PBM) reform does not affect every employer the same way.

Fully insured groups will mostly experience changes through carrier pricing. However, self-funded employers gain direct access to rebate disclosures, compensation transparency, and audit rights that can drive meaningful savings.

For mid-sized employers, moving to a self-funded or captive structure can turn regulatory change into an advantage with greater transparency, shared risk, and more predictable healthcare spend.

The article "Congress Passes Landmark PBM Reform in 2026 Spending Bill" from Mintz outlines several important takeaways from the Consolidated Appropriations Act:

1️⃣PBMs must show how they get paid.
They are required to disclose all compensation and financial arrangements to self-funded plans, helping employers evaluate whether the agreement is fair and aligned.

2️⃣ Rebates must be fully passed through.
PBMs must pass through 100% of manufacturer rebates to ERISA group health plans and clearly report those amounts. Employers can use those dollars to lower costs or enhance benefits.

3️⃣ Employers must monitor PBMs more closely.
Self-funded employers are expected to review reports, ask questions, and update contracts when necessary. Those who actively manage these relationships can strengthen long-term cost control.

Read the Mintz article to learn more: https://www.mintz.com/insights-center/viewpoints/2146/2026-02-06-congress-passes-landmark-pbm-reform-2026-spending-bill

RoundstoneInsights

On February 3, 2026, Congress passed – and the President signed – the Consolidated Appropriations Act, 2026 (2026 CAA). The legislation includes a long‑anticipated and far‑reaching package of PBM reforms. These reforms draw from the PBM Reform Act of 2025 and other legislative proposals and ...

02/23/2026

Pharmacy Benefit Managers, or PBMs, play a big role in how much a health plan spends on prescriptions. But many employers don’t fully understand how they work.

In our recent webinar, we shared how to choose the right PBM without getting distracted by big brand names or marketing promises.

Here are 3 simple takeaways:

1️⃣ Understand how they get paid.
Do they make money through spread pricing, pass-through fees, or admin fees? How they get paid affects how they make decisions.

2️⃣ Look at total cost, not just discounts.
Big discount numbers can sound great. What really matters is the final cost after rebates and fees.

3️⃣ Ask for clear reports.
You should be able to easily see where money is being spent and what trends are happening. If you can’t see the data, you can’t manage the cost.

Choosing the right PBM can make a big difference in controlling pharmacy costs.

🎥 Missed the live session? The webinar is now available on demand. Watch it anytime to learn how to better evaluate your PBM options: https://roundstoneinsurance.com/no-more-guessing-how-to-pick-the-right-pharmacy-benefit-manager/?utm_source=Facebook&utm_campaign=Feb&utm_id=OnDemand

02/18/2026

Pharmacy spend is one of the fastest-growing cost drivers in a self-funded health plan.
Yet Pharmacy Benefit Managers decisions are often made with the least visibility.

If you’re an employer or advisor looking to move from assumption to understanding, join us February 19 at 2:00 PM EST for:

“No More Guessing: How to Pick the Right Pharmacy Benefit Manager”

We’ll break down real PBM models and incentives with our very own Partner Solutions team so you can choose partners with confidence.

🔔 Last chance to register: https://roundstoneinsurance.com/no-more-guessing-how-to-pick-the-right-pharmacy-benefit-manager/?utm_source=Facebook&utm_campaign=Feb4&utm_id=Webinar

02/17/2026

Want to own outcomes, not just tasks?
We’re hiring a Customer Outcomes Manager 1

If you love solving problems, improving processes, and making a measurable impact, this role is for you.

You’ll lead client implementations, prevent issues before they escalate, collaborate with internal and external partners, and help employers get real value from their health plans.

This is a high-ownership role for someone with insurance or healthcare experience who thrives in a fast-moving environment.

Ready to help employers take control of healthcare costs? Let’s talk https://roundstoneinsurance.com/about-roundstone/careers/?utm_source=Facebook&utm_campaign=CareersCOM1&utm_id=Website

02/16/2026

A few weeks ago, we kicked off production for Season 2 of our podcast, Healthcare Forward. We’re excited to continue the conversations that help employers and advisors better understand the healthcare system and make more confident, informed decisions.

We’re looking forward to sharing what’s ahead. In the meantime, stay tuned for the final episodes of Season 1 and catch up on any you missed: https://roundstoneinsurance.com/podcast/?utm_source=Facebook&utm_campaign=HealthcareForward&utm_id=Website

02/13/2026

❤️Valentine’s Day is about relationships that last.
We believe your healthcare strategy should feel the same way.
Clear terms. Real trust. And incentives that work for employers and employees.

👉 Explore resources designed to help employers understand their options: https://roundstoneinsurance.com/?utm_source=Facebook&utm_campaign=Feb14&utm_id=Website

02/12/2026

“What makes a good PBM?” is the wrong starting question.

The better question is:
“What incentives are driving their decisions, and do they align with ours?”

In our February 19 webinar, our team will share a clear, practical way to evaluate PBMs with confidence. No buzzwords. No guesswork.

You’ll learn how to:
• Look past surface-level pricing to compare PBM models
• Spot misaligned incentives before they drive up costs
• Evaluate PBMs as true partners, not just vendors

Join our session to hear from a Lauren Gliha, Patrick Weber and Steve Sullivan on how to take deeper control over self-funded plans.

📍 February 19 at 2:00 PM EST
👉 Register here: https://roundstoneinsurance.com/no-more-guessing-how-to-pick-the-right-pharmacy-benefit-manager/?utm_source=Facebook&utm_campaign=Webinar3&utm_id=Webinar

02/11/2026

📢We’re thrilled to announce Suneel Gupta as one of our keynote speakers at this year’s Medical Captive Forum (MCF).

Suneel is a bestselling author, Harvard Medical School visiting scholar, and former CEO of RISE, acquired by Amazon. His work sits at the intersection of leadership, well-being, and sustained performance.

At MCF, he’ll challenge how leaders think about work, pressure, and productivity, and offer practical insights teams can apply immediately.

This is just the beginning!

Register for MCF and experience Suneel Gupta’s insights firsthand as we lean into building a resilient health plan together!
Register➡️: https://roundstoneinsurance.com/roundstone-mcf-2026-registration/?utm_source=Facebook&utm_campaign=Suneel&utm_id=MCF

02/10/2026

💡 Employee wellness engagement isn’t just a perk. It helps control costs.

A wellness program only works when employees take part. And participation matters more than many employers realize.

Our latest blog shows how higher engagement leads to real savings and better workplace results. Programs with strong participation see fewer claims, less absenteeism, and higher productivity.

If wellness is part of your benefits strategy but engagement is low, this is worth a look.👉 Read the full article: roundstoneinsurance.com/blog/employee-wellness-engagement/ https://roundstoneinsurance.com/blog/employee-wellness-engagement/?utm_source=Facebook&utm_campaign=EWE&utm_id=Blog

02/09/2026

How does a medical captive actually work? 🤔
In this short video, Ian Woidke breaks it down into three simple layers:
1️⃣ Employer layer where each employer funds claims up to their individual deductible
2️⃣Captive layer where employers band together to share risk on mid-level and shock claims
3️⃣Stop-loss layer that protects against high-cost claims above $500,000

This structure is designed to balance risk, create stability, and give employers the opportunity to share in savings when claims run well.

If you’ve heard about captives but want a clear, practical explanation, this is a great place to start. Talk to a Regional Practice Leader to learn more:https://roundstoneinsurance.com/contact-us/?utm_source=Facebook&utm_campaign=Ian&utm_id=ContactUs