Mutually Acceptable Audit Rights. Welcome to Issue #90
Executive Brief An audit is how a promise becomes collectible. Everything you negotiated, every guarantee, every pricing term, is an assertion until someone independent checks it.…
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.
It Means Just What I Choose It to Mean. Welcome to Issue #89
Executive Brief “The question is,” said Alice, “whether you can make words mean so many different things.” “The question is,” said Humpty Dumpty, “which is to be…
Stop Signing Stupid Contracts. Welcome to Issue #88
Executive Brief Last week at RosettaFest, Cristy Gupton told me our motto should be “stop signing stupid contracts.” The line gave me a real chuckle. She's…
The Middleman’s Cut Is Here. Welcome to Issue #87
Special Announcement Same Newsletter. New Name. Eighteen months ago this newsletter started as The Health Plan Compliance Advantage, and compliance was the right frame for the…
Short Note. Big Week.
Short Note. Big Week. The full issue arrives Thursday, with announcements attached. Executive Brief We've been working toward this week for a while. Lots of Nautilus…
The Middleman’s Cut Is Here. Welcome to Issue #85
The Middleman's Cut Is Here The leadership playbook to stop the middlemen bleeding your employer health plan dry Executive Brief For the past several weeks, we've…
What Good Looks Like. Welcome to Issue #84
What Good Looks Like The three terms everyone claims. Now measured. Executive Brief Every PBM claims transparency. Every PBM claims pass-through. Every PBM claims fiduciary alignment.…
Built to a Different Standard. Welcome to Issue #83
Built to a Different Standard What 58 contracts reveal about the one you signed. Executive Brief Last week we established the stakes. The CAA made the…
Trust Is Not a Fiduciary Strategy. Welcome to Issue #82
Trust Is Not a Fiduciary Strategy Why “I trusted them” stopped being a defense Executive Brief For years, the pharmacy deal ran on trust. You read…
The Contract Provisions That Fail Most Often. Welcome To Issue #81
Contract Provisions That Fail Most Often What the Nautilus Database Shows Executive Brief Last week we introduced the Data Sovereignty Index.This week we open the database…