A Year of Writing. A Year of Purpose. Welcome to Issue #52
A Year of Writing. A Year of Purpose. Welcome to Issue #52 - A Milestone to Celebrate! 52 Week Giveaway Every Monday morning for the past…
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.
Legal Doesn’t Mean Ethical
Legal Doesn’t Mean Ethical Fiduciaries Should Know the Difference Executive Brief Let’s say the quiet part out loud:Rebates take money from sick employees and help discount…
Whose Money Is It, Really?
Whose Money Is It, Really? The Rebate Dilemma Why fiduciaries must confront the conflict no one talks about Executive Brief It's Not About Percentages. It’s About…
The Rebate Trap
The Rebate Trap Why Employers Won’t Let Go And Why Fiduciaries May Not Have a Choice Much Longer Executive Brief Rebates have become the duct tape…
The PBM Breakup Letter
The PBM Breakup Letter Employers Are Moving On Employers are finally deciding to end their toxic relationship with PBMs that overpromise and underdeliver. It's Not Us.…
Blueprints and Benchmarks
From model clauses to measurable proof, Nautilus is turning transparency into a standard everyone can trust.
How Collective Action Fixes a Broken System
How Collective Action Fixes a Broken System The Fiduciary Network Effect Most employers still approach fiduciary reform as a solo project: negotiate with the PBM, fix…
$45 Billion Biosimilar Wake-Up Call
f you don’t control your biosimilar strategy, your PBM will — and you’ll still be paying brand-name prices for generic drugs.
Twelve Steps of Fiduciary Recovery
Twelve Steps of Fiduciary Recovery Breaking Free From PBM Dependency Executive Brief Fiduciaries Anonymous is now in session. The first step to fixing your health plan?…
Transparency, Tested
What Happens When “Transparent” PBMs Fail A Fiduciary Audit