2025 Self-Funded Claims Update: What You Need to Know Before Your January 1, 2026, Renewal
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2025 Self-Funded Claims Update: What You Need to Know Before Your January 1, 2026, Renewal
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In this episode, John Sbrocco, Founder and CEO of Virtue Health, cuts through the industry jargon to give you a clear-eyed view of the current market. He breaks down the key factors driving medical inflation—from post-COVID utilization and provider consolidation to the staggering rise of catastrophic claims.
Listen to learn:
- The real story behind renewal increases and the key inflation drivers you need to explain to employers.
- Why a million-dollar claim is no longer a large claim and how orthopedic and specialty drug costs are impacting your bottom line.
- The critical flaw in most public pools and captives that leaves well-managed groups subsidizing the risk of others.
- Actionable cost-containment strategies that focus on the 4% of members driving nearly 50% of the spend.
- How a private consortium model creates long-term stability and delivers single-digit renewals in a double-digit market.
LEARN MORE
Heads Up Adviser: https://virtuealliance.com/heads-up-adviser/
Show Sponsor Virtue Health: https://virtuealliance.com/
CONNECT ON LINKEDIN
John W. Sbrocco: https://www.linkedin.com/in/johnwsbrocco/
This is a must-listen playbook for any advisor looking to navigate tough renewal conversations and deliver sustainable results for their clients.
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