The Fiduciary’s Library Issue #100
The Fiduciary’s Library. Issue #100 A free resource organized by the questions you’re asking. Executive Brief Welcome to Issue #100! One hundred weeks of contracts,…
Author: Steve Ditto
Steve Ditto is a healthcare executive, author, and advisor with more than 30 years of experience across employer health benefits, PBM contracting, healthcare analytics, digital health, physician performance, and health systems science. He is a Board Advisor to Nautilus Health Institute, a Fellow at the Thomas F. Frist, Jr. College of Medicine, leads Contract X-Ray, and is the author of The Middleman’s Cut and the weekly newsletter of the same name.
The Dells Gave $6.25 Billion. You Can Give More. Issue #99
Executive Brief Michael and Susan Dell just pledged $6.25 billion to fund investment accounts for 25 million American children. Each child receives about $250, a seed…
Washington Delivered. So Did the Courts. Issue #98
Executive Brief October 5 was a good day for transparency. Interagency coordination is real and visible. Four federal agencies announced coordinated rules tightening health plan disclosure…
Who Owes Your Plan a Compensation Disclosure? Issue #97
Executive Brief Most plan sponsors believe they've satisfied CAA compensation disclosure requirements. They received a document from their benefits advisor. They filed it. They're missing fourteen…
The Paper Trail Problem. Issue #96
Executive Brief Here's a question benefits advisors are not asking often enough: If your client gets sued over their PBM contract, what will discovery reveal about…
Plans Negotiate the Price. PBMs Write the Rules. Issue #95
Executive Brief The contracts we review show clear signs of negotiation. Discount guarantees move. Rebate guarantees move. Dispensing fees, administrative fees, and performance guarantees move. Compare…
Your Contract Has No Exit Ramp. Issue #94
Executive Brief I spent Friday at a conference talking with PBMs. They’re still receiving RFPs for January 1 starts. Several said the same thing: to implement…
6 Weeks To Set The Next 3 Years. Issue #93
Executive Brief Most January 1 pharmacy contracts get signed in the next six weeks. The term will likely run three years. That's forty-two days of attention…
We scored Mark Cuban’s contract. Issue #92
Executive Brief Something changed in the PBM market this year, and many plan sponsors haven't realized it yet. Ten PBMs have rewritten their standard contracts to…
What Does It Cost You To Leave? Welcome to Issue #91
Executive Brief A plan sponsor's leverage comes down to three things in sequence. You need your data. You need to be able to verify it. And…