EP 547 New "Captivated Health" Book - with Mark Gaunya episode artwork

EPISODE · May 5, 2026 · 34 MIN

EP 547 New "Captivated Health" Book - with Mark Gaunya

from The ShiftShapers Podcast · host David Saltzman

We talk with Mark Gaunya about why employer health insurance often feels like a casino where the house wins and how employers can flip the odds with transparency, ownership, and smarter plan design. We break down how captive risk sharing works, what it takes to implement, and the real financial and employee-experience wins that come from getting off the less bad renewal hamster wheel. • Why the US healthcare system “works” as designed for rulemakers, not end users • How the less bad renewal cycle traps employers without claims data and transparency • Why Mark wrote Captivated Health and how case studies teach faster than jargon • Captive insurance versus traditional self-funding, including stop loss and risk layers • The four pillars of Captivated Health: members first, consumerism, wellbeing culture, self-governance • How employers can control the SPD, stop loss contract, and TPA agreement • outcomes from captive ownership: lower trend, pharmacy control, surplus, and rebate distributions • Practical stories: bundled maternity pricing plus shared savings, adding LASIK through plan design • The leadership mindset shift from system decision to self-decision • What implementation really looks like for HR and finance without adding headcount If you're an employer and you're struggling with these kinds of issues, and most of you are,  or if you're a broker and you have clients who are struggling with these issues, please get the book, "Captivated Health. Take Control. Gain Transparency. Leverage Confidence." CLICK HERE

Episode metadata supplied by the publisher feed · Published May 5, 2026

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We talk with Mark Gaunya about why employer health insurance often feels like a casino where the house wins and how employers can flip the odds with transparency, ownership, and smarter plan design. We break down how captive risk sharing works, what it takes to implement, and the real financial and employee-experience wins that come from getting off the less bad renewal hamster wheel. • Why the US healthcare system “works” as designed for rulemakers, not end users • How the ...

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EP 547 New "Captivated Health" Book - with Mark Gaunya

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