Roundstone

11/18/2025

💡 Don’t react to rising costs, be proactive.

We believe employers deserve clarity and control over their healthcare spending. Our Regional Practice Leaders help you understand your numbers and make smarter, data-driven benefits decisions that work for your team, and your bottom line.

Get connected with a Regional Practice Leader today: https://bit.ly/3X3kmeS

11/17/2025

🚀 We’re Hiring: Medical Stop Loss Adjuster
We are growing, and we’re looking for a detail-oriented Medical Stop Loss Adjuster to help us deliver accurate, efficient processing of stop loss claims. If you thrive in a fast-paced environment and enjoy digging into details that make a real impact, this role is for you.

What You’ll Do:
• Review and process stop loss claims
• Communicate with TPAs and ensure cost containment
• Manage pended claims and maintain reserves

What You Bring:
• 3+ years of medical/dental/vision claims experience
• Strong medical terminology + ICD

11/14/2025

Prescription prices can feel impossible to control. With high-cost drugs and confusing Pharmacy Benefit Manager contracts in the mix, it’s hard to know whether your PBM is helping you… or quietly driving your costs up.

🎙️ In our newest episode of Healthcare Forward, Beyond the Middleman: What to Look for in a PBM That Works, Michael Schroeder and Daniel Demyan, MSM, our Cost Containment Strategist, break down what a good PBM actually looks like. The kind that aligns with your goals, supports employees, and brings real transparency to where pharmacy dollars are going.

You’ll hear:
• How the right PBM can tailor support based on employee populations.
• Why removing hidden revenue streams and managing prescription drugs the right way can make a big impact.
• Real-world examples of savings and the impact of high-cost drugs like GLP-1s.

If your PBM is working for you, it shouldn’t be a constant battle between quality and affordability. This episode offers clarity on how the right PBM strategy can lower costs without cutting access to prescriptions.

Catch the full conversation on YouTube, Spotify, and Apple Podcast.

👉 Listen to the episode: https://bit.ly/4r1bqEk

What separates a PBM that adds value from one that just adds costs? Host Mike Schroeder and guest Daniel Demyan dig into the traits of an effective PBM—trans...

11/13/2025

Advisors — your clients are asking tough questions about Pharmacy Benefit Managers.
Do you have answers?
Join Prescription for Clarity: Understanding What PBMs Really Do to strengthen your PBM expertise and help clients cut through confusion with confidence.
You’ll learn:
🔍 The impact PBMs have on member experience and cost of care.
💡 How rebates and “savings tools” can help, or hurt.
💬 Game-changing questions that separate transparency from complexity.

Let’s make 2026 the year of clear conversations and smarter pharmacy solutions.
Start driving smarter client conversations today!
👉 Register here: https://bit.ly/43YQBQ0

11/12/2025

It’s amazing to see a place built for community, connection, and inspiration come to life as the Greater Cleveland Sports Hall of Fame finds its new home at the Roundstone Athletic Center.

We’re proud to help celebrate others Living Well — fostering the spirit of bringing people together, inspiring the next generation, and giving back to the community we love. 💙

https://bit.ly/3LBo3pt

The hall will celebrate its upcoming 50th anniversary with a permanent home at Urban Community School featuring interactive exhibits and artifacts from many of its 540 inductees.

11/11/2025

This Veterans Day, we honor all those who have served — and the veteran-owned businesses helping build stronger communities every day.

Supporting small and mid-size employers is at the heart of what we do. Today, we’re especially proud to recognize those founded and led by veterans who continue to make a difference long after their service.

Your courage and sacrifice allow us to Live Well with the freedom, integrity, and purpose that guide how we work and serve others every day.

To the veterans within our community and beyond: thank you.

11/07/2025

🎓 Looking to sharpen your expertise in self-funding and captive insurance?
Our on-demand webinar library is loaded with insights from industry leaders, advisors, and employers who have been in your shoes. From uncovering hidden costs to mastering proposal comparisons, these sessions are designed to make you a more confident advisor and decision-maker.
Explore the full library here: https://bit.ly/43etG34

11/05/2025

Advisors, your clients count on you to provide clarity into solutions that deliver real value — not more complexity.

Rely on our Regional Practice Leaders to make self-funding simple for your clients to understand and easy to trust. Get tools to educate clients and help you guide every conversation with confidence.

🎙️ Hear from advisors Kyle Dafler and Wendell Schuman on how their RPL partnerships have driven better outcomes.

Ready for a partner who brings confidence to every client conversation? Connect with a Regional Practice Leader today.

10/31/2025

🎃 Happy Spooky Season! 👻

Our team went all out for our Annual Halloween Costume Contest!
We love seeing the fun, creativity, and connection that make our culture come alive!🕸️

We’re sending a big congratulations to our winners and a shoutout to everyone who joined the fun and showed off their Halloween spirit!

10/30/2025

✨ New in the Bywater Bundle: Valenz Health NaVcare ✨

We’re excited to include Valenz Health’s NaVcare solution in the Bywater bundle! 🚀
NaVcare helps members navigate their healthcare journey by:
- Guiding them to the right care, setting, and providers
- Answering questions about health plans, claims, and bills
- Reducing overall costs while improving the member experience

Better guidance = better outcomes.

10/29/2025

🤔 Why is a health insurance company hosting a lifestyle medicine expert?

Healthier employees mean less unnecessary tragedies and fewer costly prescriptions resulting in more money returned to the group for things like salary raises or business expansion.

🎙️ On Healthcare Forward, in the episode Beyond Sick Care: The Prescription for a Healthier, More Affordable Future, Ted Barnett, MD, FACLM, Founding Member of the Rochester Lifestyle Medicine Institute, sits down with Michael Schroeder to explore why prevention should be at the center of healthcare.

Catch the full conversation on YouTube, Spotify, and Apple Podcast. 🎧 Listen to the full episode on YouTube here: https://www.youtube.com/watch?v=Cdc-_lcIeRg

10/28/2025

Did you know some Pharmacy Benefit Managers (PBMs) pay brokers incentives that aren’t disclosed to employers? 👀

That’s just one reason PBMs are in the news, and one of the biggest risks for employers new to self-funding. That’s why we’re hosting a new webinar series on PBMs.

Join us November 20 for Prescription for Clarity: Understanding What PBMs Really Do.

In this session, we’ll explain:
✅ What PBMs do (and don’t do)
✅ Why they matter to your self-funded success
✅ How to spot hidden costs and misaligned incentives
✅ Questions every employer should ask their PBM

At Roundstone, we care about every moving piece of the puzzle — and pharmacy spend is one of the biggest.

📅 Save your spot today: https://bit.ly/3JkwiWg