In this episode of Captivating Health Insights, host Maddison Bezdicek leads a live roundtable with four industry leaders on the future of Medical Stop Loss (MSL) captives:

Steve Gransbury, President, Health Solutions at Captive Resources
Tara Krauss, President of A&H at QBE North America
Brad Nieland, President and CEO at Berkley Accident and Health
Jay Ritchie, President and CEO at Tokio Marine HCC – A&H Group

 
Together, they explore how captives are helping employers navigate rising healthcare costs, manage high-severity claims, and build healthier workforces through collaboration, data sharing, and innovation.
The discussion covers key findings from recent market reports, trends in specialty pharmacy and pediatric catastrophic claims, as well as the growing role of AI, analytics, and direct contracting in risk management.
Listeners will learn why captives are becoming a mainstream solution for employers seeking long-term stability, proactive engagement, and sustainable performance of their health plans.
Chapters
(00:00:00) - Captivating Health Insights Podcast Intro(00:01:03) - Meet the Panel(00:01:35) - Intro to Stop Loss and Captives(00:03:57) - Top Underwriters on Cancer and the Future(00:05:35) - Reasons We Need a Catastrophic Medical Reinsurance(00:07:30) - President and CEO of Berkeley Accident and Health Discusses Healthcare and(00:09:01) - Exploring Stop Loss in the Healthcare Market(00:11:14) - Employer groups and their health care coverage(00:13:50) - How Do Captives Help Employers Manage Their Health Plans?(00:15:54) - Exploding specialty pharmacy High Cost Claims(00:22:18) - Broker Perspectives on Group Captives(00:27:32) - Captive Member Performance(00:31:05) - Expert Advice for Moving from Fully-Insured to Self-Funded(00:35:24) - The Need for More Visibility Into Data(00:36:47) - AI and the Future of Health Care(00:44:23) - The Human In the Loop(00:45:53) - The Role of Stop Loss in Business(00:46:37) - Employers and the Health of their Employees(00:50:35) - Employers and Direct Contracting(00:52:43) - The Tightening Market(00:55:27) - Exploring the Health Insurance Captivity Market(01:02:05) - Captive Stop Loss

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