DOL Just Wrote The Safe Harbor Argument. Welcome To Issue #69
DOL Just Wrote The Safe Harbor Argument You Have Ten Days To Help Put It On The Record. Executive Brief A safe harbor is one of…
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.
April Fools? Not If You Read the Fine Print. Welcome To Issue #69
April Fools? Not If You Read the Fine Print. The Pranks PBMs Play And How to See Through Them Executive Brief April Fools Day traces back…
Found a Better Deal? Your Contract Says No. Welcome To Issue #68
Found a Better Deal? Your Contract Says No. Why Your PBM Has No Obligation to Optimize. And Penalizes You for Trying. Executive Brief Here’s a sentence…
The Rebate Trap. Welcome To Issue #67
The Rebate Trap Your Money. Their Leverage. Executive Brief Here's a scenario playing out in conference rooms across the country right now. An employer discovers their…
The 2029 Myth. Welcome To Issue #66
The 2029 Myth CAA 2026 Compliance Starts Now, Not in Three Years Executive Brief "It Doesn't Kick In Until 2029." That's the most misconstrued deadline in…
The Audit Test Welcome To Issue #65
The Audit Test The Simplest Way to Know If Your PBM Is Transparent Executive Brief Here's a question telling you everything you need to know about…
The Old Dog’s New Trick. Welcome To Issue #64
The Old Dog’s New Trick Why a well-built AI prompt does something no form letter ever could Executive Brief Last week I gave you a PDF.…
We Wrote the DOL Comment Letter So You Don’t Have To
We Wrote the DOL Comment Letter So You Don't Have To Just Add Your Name The DOL proposed rule on PBM compensation disclosure is the first…
Show Me the Math Welcome To Issue #63
Show Me the Math What Your PBM Isn’t Showing You What would you do if you were told your PBM earned a 9% margin and researchers…
The Law Changed. The Game Hasn’t. Welcome To Issue #62
The Law Changed. The Game Hasn’t. Cigna’s CEO Told Wall Street PBM Reform Won’t Affect Profits Executive Brief On February 3, 2026, President Trump signed the…