Heads Up Adviser

2025 Self-Funded Claims Update: What You Need to Know Before Your January 1, 2026, Renewal


Listen Later

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.

...more
View all episodesView all episodes
Download on the App Store

Heads Up AdviserBy John Sbrocco, Craig Lack

  • 5
  • 5
  • 5
  • 5
  • 5

5

29 ratings


More shows like Heads Up Adviser

View all
Pivot by New York Magazine

Pivot

9,499 Listeners

Pardon My Take by Barstool Sports

Pardon My Take

82,134 Listeners

Pod Save America by Crooked Media

Pod Save America

87,212 Listeners

Self-Funded With Spencer by Spencer Smith

Self-Funded With Spencer

35 Listeners